NPIMap

Organization Active NPI

Birmingham Radiological Group PC

  • Diagnostic Radiology Physician
  • Birmingham, AL
National Provider Identifier
1376594192
Registry record updated Dec 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
BIRMINGHAM RADIOLOGICAL GROUP PC
Practice address
2000A Southbridge Pkwy
Ste 300
Birmingham, AL 35209-7704
Phone
(205) 871-4274
Fax
(205) 871-4301
NPI assigned
May 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2010

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

Authorized official

Name
Larry S Simma
Title
Business Manager/Cfo
Phone
(205) 871-4274

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0001X
Diagnostic Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

2000A Southbridge Pkwy
Ste 300
Birmingham, AL 35209-7704

Mailing address

2000A Southbridge Pkwy
Ste 300
Birmingham, AL 35209-7704
Phone (205) 871-4274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031118000002 AL Part B Supplier - Clinic/Group Practice 8022922756 Receives reassigned benefits from 61 practitioners
Practice locations: Clanton, AL; Birmingham, AL; Cullman, AL; Fort Payne, AL; Hamilton, AL; Hoover, AL; Jacksonville, AL; Jasper, AL…

National Provider Directory

National Provider Directory
Tax ID family
Birmingham Rad Group PC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

44 Medical Park Dr E
Birmingham, AL 35235
Phone (205) 838-3660

2000 Southbridge Pkwy
Ste A300
Birmingham, AL 35209

3690 Grandview Pkwy
Ste 200
Birmingham, AL 35243

5890 Valley Rd
Ste 1
Birmingham, AL 35235

2030 Lay Dam Rd
Clanton, AL 35045
Phone (205) 258-4400

1910 Cherokee Ave SW
#A
Cullman, AL 35055
Phone (256) 775-8824

1809 Dahlke Dr
Cullman, AL 35058
Phone (256) 255-6737

304 Hwy 78 E
Jasper, AL 35501

Practitioners & affiliated clinicians

Practitioners 71

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

View all 71

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293494400000",
    "number": "1376594192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000A SOUTHBRIDGE PKWY",
            "address_2": "STE 300",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352097704",
            "telephone_number": "205-871-4274",
            "fax_number": "205-871-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000A SOUTHBRIDGE PKWY",
            "address_2": "STE 300",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352097704",
            "telephone_number": "205-871-4274",
            "fax_number": "205-871-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRMINGHAM RADIOLOGICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2010-12-28",
        "status": "A",
        "authorized_official_last_name": "SIMMA",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "BUSINESS MANAGER/CFO",
        "authorized_official_telephone_number": "205-871-4274"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "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 Dec 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.