Organization Active NPI

Brookwood OB-GYN PC

  • Specialist
  • Birmingham, AL
National Provider Identifier
1164590352
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
BROOKWOOD OB-GYN PC
Practice address
2006 Brookwood Medical Ctr Dr
Suite 202, WMP
Birmingham, AL 35209-6899
Phone
(205) 877-2850
Fax
(205) 877-2858
NPI assigned
Dec 4, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Jack B Freeman, M.D.
Title
President
Phone
(205) 877-2850

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X AL Primary

Addresses

NPPES NPI Registry

Primary practice location

2006 Brookwood Medical Ctr Dr
Suite 202, WMP
Birmingham, AL 35209-6899

Mailing address

2006 Brookwood Medical Ctr Dr
Suite 202, WMP
Birmingham, AL 35209-6899
Phone (205) 877-2850

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164590352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 BROOKWOOD MEDICAL CTR DR",
            "address_2": "SUITE 202, WMP",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096899",
            "telephone_number": "205-877-2850",
            "fax_number": "205-877-2858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 BROOKWOOD MEDICAL CTR DR",
            "address_2": "SUITE 202, WMP",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096899",
            "telephone_number": "205-877-2850",
            "fax_number": "205-877-2858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKWOOD OB-GYN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-877-2850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "AL",
            "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 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.