Organization Active NPI

Alabama Sleep and Lung Medicine, LLC

  • Pulmonary Disease Physician
  • Birmingham, AL
National Provider Identifier
1376826586
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
10246 Issued in AL
Legal business name
ALABAMA SLEEP AND LUNG MEDICINE, LLC
Practice address
2018 Brookwood Medical Center Drive
Suite 115
Birmingham, AL 35209-6870
Phone
(205) 802-6186
Fax
(205) 802-3941
NPI assigned
Sep 23, 2011
Last updated
Jan 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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

Authorized official

Name
Donna J Mulkin
Title
Office Manager
Phone
(205) 802-6186

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X 10246 AL Primary

Addresses

Primary practice location

2018 Brookwood Medical Center Drive
Suite 115
Birmingham, AL 35209-6870

Mailing address

2018 Brookwood Medical Center Drive
Suite 115
Birmingham, AL 35209-6870
Phone (205) 802-6186

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120117000202 AL Part B Supplier - Clinic/Group Practice 2466629415 Receives reassigned benefits from 1 practitioner
Practice locations: Birmingham, AL

National Provider Directory

National Provider Directory

Locations

210 Wildwood Pkwy
Ste 402
Birmingham, AL 35209
Phone (205) 802-6186

3415 Independence Dr
Ste 108
Birmingham, AL 35209
Phone (205) 791-5210

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.400148

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1376826586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2018 BROOKWOOD MEDICAL CENTER DRIVE",
            "address_2": "SUITE 115",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096870",
            "telephone_number": "205-802-6186",
            "fax_number": "205-802-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 BROOKWOOD MEDICAL CENTER DRIVE",
            "address_2": "SUITE 115",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096870",
            "telephone_number": "205-802-6186",
            "fax_number": "205-802-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALABAMA SLEEP AND LUNG MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-23",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "MULKIN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "205-802-6186"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AL",
            "license": "10246",
            "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 Jan 18, 2012; 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.