Birmingham Ear, Nose & Throat Group, PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

00010997 Issued in AL

Legal business name

BIRMINGHAM EAR, NOSE & THROAT GROUP, PC

Practice address

2700 10TH Ave S Ste 502
Birmingham, AL 35205-1250

Phone

(205) 933-2952

Fax

(205) 933-5893

NPI assigned

Dec 26, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Marcia L Lowry

Title

Office Manager

Phone

(205) 933-2952

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Lev H Bragg, M.D.

  • Otolaryngology Physician
  • Birmingham, AL
  • NPI 1407819451
  NPD
• Christine Kircher Goguen, M.S., CCC-A

  • Audiologist
  • Birmingham, AL
  • NPI 1023289816
  NPD

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265673600000",
    "number": "1184789588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 10TH AVE S STE 502",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051250",
            "telephone_number": "205-933-2952",
            "fax_number": "205-933-5893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 10TH AVE S STE 502",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051250",
            "telephone_number": "205-933-2952",
            "fax_number": "205-933-5893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRMINGHAM EAR, NOSE & THROAT GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2010-02-09",
        "status": "A",
        "authorized_official_last_name": "LOWRY",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "205-933-2952",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "AL",
            "license": "00010997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000032702",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Birmingham Braces
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• Birmingham Dental, PLLC
• Birmingham Div-Bureau of Clinical Labs
• Birmingham East SNF Opco LLC
• Birmingham Endodontics LLC
• Birmingham Evaluation Services Technology
• Birmingham Evaluation Services Technology
• Birmingham Eye Center

• Otolaryngology Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Otolaryngology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; 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.