NPIMap

Organization Active NPI

Brookwood Womens Diagnostic Center LLC

  • Radiology Clinic/Center
  • Birmingham, AL
National Provider Identifier
1013378496
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
I3773 Issued in AL
Legal business name
BROOKWOOD WOMENS DIAGNOSTIC CENTER LLC
Practice address
2006 Brookwood Medical Center Drive
Suite 112
Birmingham, AL 35209-6878
Phone
(469) 893-2000
NPI assigned
Mar 14, 2016
Last updated
Aug 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Authorized official

Name
Jaikumar Krishnaswamy
Title
Officer/Authorized Official
Phone
(972) 713-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X I3773 AL Primary

Addresses

Primary practice location

2006 Brookwood Medical Center Drive
Suite 112
Birmingham, AL 35209-6878

Mailing address

2006 Brookwood Medical Center Drive
Suite 112
Birmingham, AL 35209-6878
Phone (469) 893-2000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160504001467 AL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 5597064030 Receives reassigned benefits from 2 practitioners
Practice locations: Birmingham, AL

National Provider Directory

National Provider Directory

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 40

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.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1013378496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 BROOKWOOD MEDICAL CENTER DRIVE",
            "address_2": "SUITE 112",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096878",
            "telephone_number": "469-893-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 BROOKWOOD MEDICAL CENTER DRIVE",
            "address_2": "SUITE 112",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096878",
            "telephone_number": "469-893-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKWOOD WOMENS DIAGNOSTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-14",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "KRISHNASWAMY",
        "authorized_official_first_name": "JAIKUMAR",
        "authorized_official_title_or_position": "OFFICER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "972-713-3500"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "AL",
            "license": "I3773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 28, 2024; 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.