Active NPI
Brookwood Primary Care-Oak Mountain, L.L.C.
- Family Medicine Physician
- Pelham, AL
National Provider Identifier
1265720544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- BROOKWOOD PRIMARY CARE-OAK MOUNTAIN, L.L.C.
- Practice address
- 120 Cahaba Valley Pkwy
Suite 200
Pelham, AL 35124-1185 - Phone
- (205) 733-1130
- Fax
- (205) 560-0451
- NPI assigned
- Jul 20, 2011
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
120 Cahaba Valley Pkwy
Suite 200
Pelham, AL 35124-1185
Mailing address
4902 Valleydale Rd
Birmingham, AL 35242-4613
Phone (205) 980-8099
Other names 1
- Brookwood Primary Care-Oak Mountain, LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1464220800000",
"number": "1265720544",
"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": "120 CAHABA VALLEY PKWY",
"address_2": "SUITE 200",
"city": "PELHAM",
"state": "AL",
"postal_code": "351241185",
"telephone_number": "205-733-1130",
"fax_number": "205-560-0451"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROOKWOOD PRIMARY CARE-OAK MOUNTAIN, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-20",
"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": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Brookwood Primary Care-Oak Mountain, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pelham, 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.