Proton International Alabama, LLC

Primary specialty

Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X

Legal business name

PROTON INTERNATIONAL ALABAMA, LLC

Practice address

400 20TH Street South
Birmingham, AL 35233

Phone

(630) 649-4060

NPI assigned

Feb 13, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Charles Yoo

Title

Board Member

Phone

(630) 649-4060

Specialties & licenses 3

Addresses

Other names 2

• Proton International at UAB Doing business as
• UAB Proton Center Doing business as

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640044800000",
    "number": "1649736752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 HAWKHORN CT",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054358",
            "telephone_number": "630-649-4060",
            "fax_number": "312-896-9537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 20TH STREET SOUTH",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35233",
            "telephone_number": "630-649-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROTON INTERNATIONAL ALABAMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-13",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A",
        "authorized_official_last_name": "YOO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "630-649-4060",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Proton International at UAB",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Proton International at UAB",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UAB Proton Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Rebeca Protasio
• Protective Life
• Carl Ross Provenzano, DDS
• Providence Family Psychiatry, P.C.
• Shaneka Lynette Prowell
• Proxycare of Alabama Inc
• Sandra Katharina Prucka, MS

• Radiation Oncology Clinic/Center in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Radiation Oncology Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.