NPIMap

Organization Active NPI

Brookwood Diagnostic Imaging Center, LLC

  • Radiology Clinic/Center
  • Birmingham, AL
National Provider Identifier
1538520721
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
I3772 Issued in AL
Legal business name
BROOKWOOD DIAGNOSTIC IMAGING CENTER, LLC
Practice address
513 Brookwood Blvd
Suite 100
Birmingham, AL 35209-6878
Phone
(469) 893-2000
NPI assigned
Mar 15, 2016
Last updated
Aug 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Authorized official

Name
Jaikumar Krishnaswamy
Title
Officer/Authorized Official
Phone
(972) 713-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X I3772 AL Primary

Addresses

Primary practice location

513 Brookwood Blvd
Suite 100
Birmingham, AL 35209-6878

Mailing address

513 Brookwood Blvd
Suite 100
Birmingham, AL 35209-6878
Phone (469) 893-2000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160104001105 AL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 5890789366 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Birmingham, AL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Brookwood Diagnostic Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

Locations

513 Brookwood Blvd
Homewood, AL 35209
Phone (205) 802-6898

4515 Southlake Pkwy
Ste 102
Hoover, AL 35244
Phone (205) 985-0600

200 Montgomery Hwy
Ste 210
Vestavia Hills, AL 35216
Phone (205) 802-6982

Practitioners & affiliated clinicians

Practitioners 48

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 48

NPI Registry JSON

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1538520721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 BROOKWOOD BLVD",
            "address_2": "SUITE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096878",
            "telephone_number": "469-893-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 BROOKWOOD BLVD",
            "address_2": "SUITE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096878",
            "telephone_number": "469-893-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKWOOD DIAGNOSTIC IMAGING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-15",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "KRISHNASWAMY",
        "authorized_official_first_name": "JAIKUMAR",
        "authorized_official_title_or_position": "OFFICER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "972-713-3500"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "AL",
            "license": "I3772",
            "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 Aug 28, 2024; 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.