Active NPI
The Breast and Wellness Collective LLC
- Surgery Physician
- Birmingham, AL
National Provider Identifier
1609721653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- THE BREAST AND WELLNESS COLLECTIVE LLC
- Practice address
- 2100 16TH Ave S Ste 205
Birmingham, AL 35205-5021 - Phone
- (205) 930-0806
- Fax
- (205) 930-0906
- NPI assigned
- Mar 3, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donna Newton
- Title
- Administrator
- Phone
- (205) 790-0530
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
2100 16TH Ave S Ste 205
Birmingham, AL 35205-5021
Mailing address
2100 16TH Ave S Ste 205
Birmingham, AL 35205-5021
Phone (205) 930-0806
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772496000000",
"number": "1609721653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 16TH AVE S STE 205",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352055021",
"telephone_number": "205-930-0806",
"fax_number": "205-930-0906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 16TH AVE S STE 205",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352055021",
"telephone_number": "205-930-0806",
"fax_number": "205-930-0906"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE BREAST AND WELLNESS COLLECTIVE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-03",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A",
"authorized_official_last_name": "NEWTON",
"authorized_official_first_name": "DONNA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "205-790-0530"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"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 Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.