Organization Active NPI

Brookwood Baptist Imaging, LLC

  • Diagnostic Radiology Physician
  • Hoover, AL
National Provider Identifier
1558720953
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
BROOKWOOD BAPTIST IMAGING, LLC
Practice address
7131 Cahaba Valley Rd. Suite 101
Hoover, AL 35242
Phone
(205) 725-6900
NPI assigned
Feb 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
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

7131 Cahaba Valley Rd. Suite 101
Hoover, AL 35242

Mailing address

7131 Cahaba Valley Rd Ste 101
Hoover, AL 35242-6402

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160830001796 AL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 4486949468 Receives reassigned benefits from 2 practitioners
Practice locations: Birmingham, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2228833Brookwood Baptist Imaging LLC7131 Cahaba Valley Road Suite 101, Hoover, AL 35242Certificate of waiverJun 30, 2027

National Provider Directory

National Provider Directory

Member of 1

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

Locations

7131 Cahaba Valley Rd
#101
Hoover, AL 35242
Phone (205) 725-6900

1445 Ross Ave
Ste 1600
Dallas, TX 75202

Practitioners & affiliated clinicians

Practitioners 40

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 40

NPI Registry JSON

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1558720953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7131 CAHABA VALLEY RD STE 101",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352426402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7131 CAHABA VALLEY RD. SUITE 101",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "35242",
            "telephone_number": "205-725-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKWOOD BAPTIST IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "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": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.