NPIMap

Organization Active NPI

Pulmonary and Sleep Assoc of Alabama

  • Pulmonary Disease Physician
  • Birmingham, AL
National Provider Identifier
1619988326
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
10748 Issued in AL
Legal business name
PULMONARY AND SLEEP ASSOC OF ALABAMA
Practice address
2022 Brookwood Medical CT Dr
Acc 310
Birmingham, AL 35209-6808
Phone
(205) 871-9112
Fax
(205) 871-9114
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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

Authorized official

Name
Harold Andrew Wilson Jr., MD
Title
President
Phone
(205) 871-9112

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X 10748 AL Primary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X 24068 AL
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X 14068 AL

Addresses

Primary practice location

2022 Brookwood Medical CT Dr
Acc 310
Birmingham, AL 35209-6808

Mailing address

2022 Brookwood Medical Ctr Dr
Acc # 310
Birmingham, AL 35209-6808
Phone (205) 871-9112

Other identifiers 2

IdentifierTypeStateIssuer
529914500MedicaidAL
8416121712OtherALTAX IDENTIFICATION NUMBER

National Provider Directory

National Provider Directory

Locations

2660 10th Ave S
Ste 528
Birmingham, AL 35205
Phone (205) 933-9258

2022 Brookwood Medical Ctr Dr
Ste 310
Homewood, AL 35209
Phone (205) 871-9112

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1619988326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2022 BROOKWOOD MEDICAL CTR DR",
            "address_2": "ACC # 310",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096808",
            "telephone_number": "205-871-9112",
            "fax_number": "205-871-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 BROOKWOOD MEDICAL CT DR",
            "address_2": "ACC 310",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096808",
            "telephone_number": "205-871-9112",
            "fax_number": "205-871-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY AND SLEEP ASSOC OF ALABAMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-871-9112",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AL",
            "license": "10748",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AL",
            "license": "24068",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AL",
            "license": "14068",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529914500",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "8416121712",
            "state": "AL"
        }
    ],
    "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 Sep 13, 2013; 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.