Organization Active NPI

Poole Urology PC

  • Urology Physician
  • Birmingham, AL
National Provider Identifier
1043360605
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
18517 Issued in AL
Legal business name
POOLE UROLOGY PC
Practice address
2018 Brookwood Medical Center Drive
Suite 302
Birmingham, AL 35209-6870
Phone
(205) 877-2935
Fax
(205) 870-1759
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Bryant Emory Poole, MDNPI 1801869391
Title
President
Phone
(205) 877-2935

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
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 18517 AL Primary

Addresses

Primary practice location

2018 Brookwood Medical Center Drive
Suite 302
Birmingham, AL 35209-6870

Mailing address

2018 Brookwood Medical Center Drive
Suite 302
Birmingham, AL 35209-6870
Phone (205) 877-2935

Other identifiers 1

IdentifierTypeStateIssuer
00009914615MedicaidAL

National Provider Directory

National Provider Directory

Locations

2018 Brookwood Medical Ctr Dr
Ste 302
Birmingham, AL 35209
Phone (205) 877-2935

1222 14th Ave S
Ste 206
Birmingham, AL 35205
Phone (205) 939-0078

Practitioners & affiliated clinicians

Practitioners 1

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": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043360605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2018 BROOKWOOD MEDICAL CENTER DRIVE",
            "address_2": "SUITE 302",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096870",
            "telephone_number": "205-877-2935",
            "fax_number": "205-870-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 BROOKWOOD MEDICAL CENTER DRIVE",
            "address_2": "SUITE 302",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096870",
            "telephone_number": "205-877-2935",
            "fax_number": "205-870-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POOLE UROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POOLE",
        "authorized_official_first_name": "BRYANT",
        "authorized_official_middle_name": "EMORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-877-2935",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "AL",
            "license": "18517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00009914615",
            "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 Aug 22, 2020; 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.