NPIMap

Organization Active NPI

Birmingham Wellness LLC

Doing business as Greystone Chiropractic

  • Chiropractor
  • Birmingham, AL
National Provider Identifier
1003160250
Registry record updated Jul 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BIRMINGHAM WELLNESS LLC
Doing business as
Greystone Chiropractic
Practice address
5426 Highway 280
Suite 7
Birmingham, AL 35242-6599
Phone
(205) 981-8090
Fax
(877) 516-0838
NPI assigned
Nov 8, 2012
Last updated
Jul 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Lee Goldenberg, DCNPI 1215010699
Title
Managing Member
Phone
(404) 313-3562

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

5426 Highway 280
Suite 7
Birmingham, AL 35242-6599

Mailing address

5426 Highway 280
Suite 7
Birmingham, AL 35242-6599
Phone (205) 981-8090

Other names 1

  • Greystone Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131216001578 AL Part B Supplier - Clinic/Group Practice 6709013857 Receives reassigned benefits from 2 practitioners
Practice locations: Birmingham, AL

National Provider Directory

National Provider Directory

Locations

140 Village St
Ste 201
Birmingham, AL 35242
Phone (205) 981-8090

5426 Highway 280
Ste 7
Hoover, AL 35242
Phone (205) 981-8090

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436054400000",
    "number": "1003160250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5426 HIGHWAY 280",
            "address_2": "SUITE 7",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352426599",
            "telephone_number": "205-981-8090",
            "fax_number": "877-516-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5426 HIGHWAY 280",
            "address_2": "SUITE 7",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352426599",
            "telephone_number": "205-981-8090",
            "fax_number": "877-516-0838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRMINGHAM WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-08",
        "last_updated": "2015-07-05",
        "status": "A",
        "authorized_official_last_name": "GOLDENBERG",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "404-313-3562",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greystone Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.