Active NPI
Brookwood Primary Care Vestavia, L.L.C.
- Internal Medicine Physician
- Vestavia, AL
National Provider Identifier
1225348527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- BROOKWOOD PRIMARY CARE VESTAVIA, L.L.C.
- Doing business as
- Brookwood Primary Care Vestavia, LLC
- Practice address
- 2017 Canyon Rd
Suite 39
Vestavia, AL 35216-1900 - Phone
- (205) 871-7746
- Fax
- (205) 871-9234
- NPI assigned
- Oct 20, 2010
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
2017 Canyon Rd
Suite 39
Vestavia, AL 35216-1900
Mailing address
4902 Valleydale Rd
Birmingham, AL 35242-4613
Phone (205) 980-8099
Other names 1
- Brookwood Primary Care Vestavia, LLC
National Provider Directory
National Provider DirectoryLocations
2017 Canyon Rd
#39
Vestavia Hills, AL 35216
Phone (205) 871-7746
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Vestavia Hills, AL
- NPI 1154571313
-
- Internal Medicine Physician
- Homewood, AL
- NPI 1568479624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1464220800000",
"number": "1225348527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4902 VALLEYDALE RD",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352424613",
"telephone_number": "205-980-8099",
"fax_number": "205-980-2606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2017 CANYON RD",
"address_2": "SUITE 39",
"city": "VESTAVIA",
"state": "AL",
"postal_code": "352161900",
"telephone_number": "205-871-7746",
"fax_number": "205-871-9234"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROOKWOOD PRIMARY CARE VESTAVIA, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-20",
"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": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Brookwood Primary Care Vestavia, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Vestavia, AL
Sources for this page
- 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.