Organization Active NPI

Birmingham Pet Imaging Inc

  • Diagnostic Radiology Physician
  • Birmingham, AL
National Provider Identifier
1033199179
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
1392 Issued in AL
Legal business name
BIRMINGHAM PET IMAGING INC
Practice address
1425 Montgomery Hwy
Suite 173
Birmingham, AL 35216-3679
Phone
(205) 978-0347
Fax
(205) 978-0349
NPI assigned
Jan 17, 2006
Last updated
Feb 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Authorized official

Name
Tommy R Harris
Title
Director
Phone
(205) 978-0347

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 1392 AL Primary

Addresses

Primary practice location

1425 Montgomery Hwy
Suite 173
Birmingham, AL 35216-3679

Mailing address

PO Box 18006
Huntsville, AL 35804-8006
Phone (256) 533-2311

Other identifiers 1

IdentifierTypeStateIssuer
P00139607OtherALMEDICARE RR PALMETTO GBA

National Provider Directory

National Provider Directory

Locations

1425 Montgomery Hwy
Ste 17
Vestavia Hills, AL 35216
Phone (205) 978-0347

1425 Montgomery Hwy
Ste 173
Vestavia Hills, AL 35216
Phone (205) 978-0347

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1033199179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18006",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358048006",
            "telephone_number": "256-533-2311",
            "fax_number": "256-533-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 MONTGOMERY HWY",
            "address_2": "SUITE 173",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352163679",
            "telephone_number": "205-978-0347",
            "fax_number": "205-978-0349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRMINGHAM PET IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "205-978-0347"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "1392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR PALMETTO GBA",
            "identifier": "P00139607",
            "state": "AL"
        }
    ],
    "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 Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.