Organization Active NPI

Alabama Center for Reproductive Medicine PLLC

  • Reproductive Endocrinology Physician
  • Birmingham, AL
National Provider Identifier
1255950929
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
Legal business name
ALABAMA CENTER FOR REPRODUCTIVE MEDICINE PLLC
Practice address
2006 Brookwood Medical Ctr Dr Ste 302
Birmingham, AL 35209-6823
Phone
(205) 307-0484
Fax
(866) 829-2082
NPI assigned
Apr 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

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

Authorized official

Name
Joseph Bolen, MSHA
Title
Chief Operating Officer
Phone
(205) 307-0484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VE0102X Primary

Addresses

Primary practice location

2006 Brookwood Medical Ctr Dr Ste 302
Birmingham, AL 35209-6823

Mailing address

2006 Brookwood Medical Ctr Dr Ste 302
Birmingham, AL 35209-6823

Other practice location 1

1 Independence Plz Ste 810
Birmingham, AL 35209-2647
Phone (205) 307-0484

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586736000000",
    "number": "1255950929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 BROOKWOOD MEDICAL CTR DR STE 302",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 BROOKWOOD MEDICAL CTR DR STE 302",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096823",
            "telephone_number": "205-307-0484",
            "fax_number": "866-829-2082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Independence Plz Ste 810",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352092647",
            "country_code": "US",
            "telephone_number": "205-307-0484",
            "fax_number": "866-829-2082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALABAMA CENTER FOR REPRODUCTIVE MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-13",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A",
        "authorized_official_last_name": "BOLEN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "205-307-0484",
        "authorized_official_credential": "MSHA"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": null,
            "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 Apr 13, 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.