Organization Active NPI

Orthosports 1St, PC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Birmingham, AL
National Provider Identifier
1124886270
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
ORTHOSPORTS 1ST, PC
Practice address
5006 Pinnacle SQ Ste 106
Birmingham, AL 35235-3166
Phone
(205) 946-5741
Fax
(205) 946-5742
NPI assigned
Mar 12, 2024
Organization subpart
Yes
Parent organization
ORTHOSPORTS 1ST, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Authorized official

Name
Mr. Mark Covin
Title
Controller
Phone
(205) 352-2911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0005X Primary

Addresses

Primary practice location

5006 Pinnacle SQ Ste 106
Birmingham, AL 35235-3166

Mailing address

1031 Brocks Gap Pkwy Ste 185
Hoover, AL 35244-4078
Phone (205) 352-2911

National Provider Directory

National Provider Directory
Part of
Orthosports1St PC

NPI Registry JSON

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1124886270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 BROCKS GAP PKWY STE 185",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352444078",
            "telephone_number": "205-352-2911",
            "fax_number": "205-352-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5006 PINNACLE SQ STE 106",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353166",
            "telephone_number": "205-946-5741",
            "fax_number": "205-946-5742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOSPORTS 1ST, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHOSPORTS 1ST, PC",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "COVIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "205-352-2911",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "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 12, 2024; 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.