Active NPI
America Institute of Reproductive Medicine - Alabama LLC
- Reproductive Endocrinology Physician
- Birmingham, AL
National Provider Identifier
1043734619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- 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 LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 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 DirectoryNPI 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.