NPIMap

Organization Active NPI

Alabama Sports Medicine and Ortho Center

  • Orthopaedic Surgery Physician
  • Bham, AZ
National Provider Identifier
1487629101
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ALABAMA SPORTS MEDICINE AND ORTHO CENTER
Practice address
806 St Vincents Drive
Suite 415
Bham, AZ 35205
Phone
(205) 939-3000
Fax
(205) 930-0008
NPI assigned
Feb 17, 2006
Last updated
Feb 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Authorized official

Name
Mr. H Michael Immel
Title
Administrator
Phone
(205) 939-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

806 St Vincents Drive
Suite 415
Bham, AZ 35205

Mailing address

2800 University Blvd
Suite 100
Bham, AZ 35233
Phone (205) 939-3000

Other identifiers 1

IdentifierTypeStateIssuer
0310040001OtherALCIGNA GOVERNMENT SERVICES

National Provider Directory

National Provider Directory

Locations

2800 University Blvd
Ste 100
Birmingham, AL 35233

806 Saint Vincents Dr
Ste 415
Birmingham, AL 35205
Phone (205) 939-3000

2010 Patton Chapel Rd
Ste 105
Hoover, AL 35216
Phone (205) 939-3000

Practitioners & affiliated clinicians

Practitioners 120

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.

View all 120

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1487629101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 UNIVERSITY BLVD",
            "address_2": "SUITE 100",
            "city": "BHAM",
            "state": "AZ",
            "postal_code": "35233",
            "telephone_number": "205-939-3000",
            "fax_number": "205-930-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 ST VINCENTS DRIVE",
            "address_2": "SUITE 415",
            "city": "BHAM",
            "state": "AZ",
            "postal_code": "35205",
            "telephone_number": "205-939-3000",
            "fax_number": "205-930-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALABAMA SPORTS MEDICINE AND ORTHO CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-17",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "IMMEL",
        "authorized_official_first_name": "H",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "205-939-3000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GOVERNMENT SERVICES",
            "identifier": "0310040001",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.