Organization Active NPI

America Institute of Reproductive Medicine - Alabama LLC

  • Reproductive Endocrinology Physician
  • Birmingham, AL
National Provider Identifier
1043734619
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
Legal business name
AMERICA INSTITUTE OF REPRODUCTIVE MEDICINE - ALABAMA LLC
Practice address
1 Independence PLZ Ste 810
Birmingham, AL 35209-2647
Phone
(205) 441-1302
NPI assigned
Jul 26, 2017
Organization subpart
Yes
Parent organization
AMERICA INSTITUTE OF REPRODUCTIVE MEDICINE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Mr. Joseph B Bolen IV
Title
Administrator
Phone
(205) 515-4217

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VE0102X Primary

Addresses

Primary practice location

1 Independence PLZ Ste 810
Birmingham, AL 35209-2647

Mailing address

1 Independence PLZ Ste 810
Birmingham, AL 35209-2647

Other practice location 1

2006 Brookwood Medical Ctr Dr Ste 302
Birmingham, AL 35209-6823
Phone (205) 307-0484

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1043734619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PLZ STE 810",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352092647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PLZ STE 810",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352092647",
            "telephone_number": "205-441-1302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2006 Brookwood Medical Ctr Dr Ste 302",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352096823",
            "country_code": "US",
            "telephone_number": "205-307-0484",
            "fax_number": "205-278-1447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMERICA INSTITUTE OF REPRODUCTIVE MEDICINE - ALABAMA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERICA INSTITUTE OF REPRODUCTIVE MEDICINE LLC",
        "enumeration_date": "2017-07-26",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "BOLEN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "205-515-4217",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "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 Mar 17, 2018; 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.