Organization Active NPI

Ross Bridge Medical Center Pediatrics, LLC

  • Multi-Specialty Clinic/Center
  • Birmingham, AL
National Provider Identifier
1124590468
Registry record updated Dec 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ROSS BRIDGE MEDICAL CENTER PEDIATRICS, LLC
Practice address
3635 Market St Ste B
Birmingham, AL 35226-6391
Phone
(205) 494-7337
NPI assigned
Dec 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2018

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

Authorized official

Name
Purvi Shah
Title
Ceo
Phone
(205) 494-7337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

3635 Market St Ste B
Birmingham, AL 35226-6391

Mailing address

7118 Lake Run Cir
Vestavia, AL 35242-7500
Phone (813) 416-6438

National Provider Directory

National Provider Directory

Locations

3635 Market St
Ste B
Hoover, AL 35226
Phone (205) 494-7337

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": "1545868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545868800000",
    "number": "1124590468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7118 LAKE RUN CIR",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352427500",
            "telephone_number": "813-416-6438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 MARKET ST STE B",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352266391",
            "telephone_number": "205-494-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSS BRIDGE MEDICAL CENTER PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-27",
        "last_updated": "2018-12-27",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "PURVI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "205-494-7337"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "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 Dec 27, 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.