BW Sports Practice, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BW SPORTS PRACTICE, LLC

Practice address

4500 Montevallo Rd
Ste. E101
Irondale, AL 35210-3129

Phone

(205) 877-2663

Fax

(205) 874-9622

NPI assigned

Dec 2, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Wesley O. James

Title

Regional Cfo, Tenet

Phone

(404) 265-5009

Specialties & licenses 1

Addresses

Other names 1

• Brookwood Sports and Orthopedics Doing business as

Tax ID family

Brookwood Sports and Orthopedics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Brookwood Sports and Orthopedics, LLC

  • Durable Medical Equipment & Medical Supplies
  • Hoover, AL
  • NPI 1174922538
  NPD tax ID

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1144695115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742727",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742727",
            "telephone_number": "205-877-2663",
            "fax_number": "205-874-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 MONTEVALLO RD",
            "address_2": "STE. E101",
            "city": "IRONDALE",
            "state": "AL",
            "postal_code": "352103129",
            "telephone_number": "205-877-2663",
            "fax_number": "205-874-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BW SPORTS PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-02",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "REGIONAL CFO, TENET",
        "authorized_official_telephone_number": "404-265-5009",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookwood Sports and Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brookwood Sports and Orthopedics, LLC
• Kellie Buckhalter, COTA
• Laura Christopher Bunch, M.D.
• Matthew A Bunt, LPC-S
• J'Mee Burgess
• Henry Callins, PTA
• Brittney Nichole Calma
• Capitol Care South
• Capitol Care South
• Capitol Care South

• Durable Medical Equipment & Medical Supplies in Irondale, AL
• Providers in Irondale, AL by specialty
• Durable Medical Equipment & Medical Supplies in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.