Organization Active NPI

Be Eccentric LLC

  • Occupational Therapist
  • Birmingham, AL
National Provider Identifier
1043100191
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
BE ECCENTRIC LLC
Practice address
1704 Ridgewood Rd
Birmingham, AL 35215-4384
Phone
(205) 213-2084
NPI assigned
Jul 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Authorized official

Name
Broa Wilson Hardy, OTR/ L
Title
Occupational Therapist
Phone
(205) 213-2084

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

1704 Ridgewood Rd
Birmingham, AL 35215-4384

Mailing address

1704 Ridgewood Rd
Birmingham, AL 35215-4384
Phone (205) 213-2084

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1751932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1043100191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 RIDGEWOOD RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352154384",
            "telephone_number": "205-213-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 RIDGEWOOD RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352154384",
            "telephone_number": "205-213-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BE ECCENTRIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-08",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "WILSON HARDY",
        "authorized_official_first_name": "BROA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "205-213-2084",
        "authorized_official_credential": "OTR/ L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "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 Jul 8, 2025; 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.