Mountain Brook Plastic Surgery and Laser Center

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

AL16730 Issued in AL

Legal business name

MOUNTAIN BROOK PLASTIC SURGERY AND LASER CENTER

Practice address

2850 Cahaba Rd
Suite 100
Birmingham, AL 35223-2346

Phone

(205) 871-4440

Fax

(205) 871-7776

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Lauren Rives

Title

Clinical Manager

Phone

(205) 871-4440

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Lindsey C Beville, PA

  • Physician Assistant
  • Mobile, AL
  • NPI 1114025731
  NPD (past)
• Sherry Stine Collawn, MD, PH.D.

  • Plastic Surgery Physician
  • Birmingham, AL
  • NPI 1730289828

  Plastic and Reconstructive Surgery

  NPD (past)
• Timothy Wells King, MD, PHD

  • Plastic Surgery Physician
  • Maywood, IL
  • NPI 1861514986
  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093939894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 CAHABA RD",
            "address_2": "SUITE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352232346",
            "telephone_number": "205-871-4440",
            "fax_number": "205-871-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 CAHABA RD",
            "address_2": "SUITE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352232346",
            "telephone_number": "205-871-4440",
            "fax_number": "205-871-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN BROOK PLASTIC SURGERY AND LASER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIVES",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "CLINICAL MANAGER",
        "authorized_official_telephone_number": "205-871-4440",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "AL",
            "license": "AL16730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "1310014",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Elisa Moulton, DMD
• Shuntrell Moultrie
• David Kyle Mounger, DPT
• Conner Jay Mount
• Jordan Riley Mount, MD
• Mountain Smiles - Advanced Endodontics PLLC
• Mountain Smiles - MST Dental PLLC
• Mountain Smiles - Trussville PLLC
• D John Mountz, M.D., PH.D.
• Tatevik Movsisyan, O.D.

• Plastic and Reconstructive Surgery Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Plastic and Reconstructive Surgery Physician in Alabama

• 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.