Healthsource of Birmingham 280 LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

HEALTHSOURCE OF BIRMINGHAM 280 LLC

Practice address

1401 Doug Baker Blvd
Suite 101
Birmingham, AL 35242-4974

Phone

(440) 653-5973

NPI assigned

Sep 3, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Greg Schmitz Jr.

Title

Billing Supervisor

Phone

(440) 653-5973

Specialties & licenses 1

Addresses

Other names 1

• HEALTHSOURCE OF GREYSTONE Doing business as

Locations

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409702400000",
    "number": "1235539719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 DOUG BAKER BLVD",
            "address_2": "SUITE 101",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352424974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 DOUG BAKER BLVD",
            "address_2": "SUITE 101",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352424974",
            "telephone_number": "440-653-5973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSOURCE OF BIRMINGHAM 280 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-03",
        "last_updated": "2014-09-03",
        "status": "A",
        "authorized_official_last_name": "SCHMITZ",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "440-653-5973",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTHSOURCE OF GREYSTONE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Healthworx, Inc
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• Chiropractor in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; 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.