NPIMap

Organization Active NPI

Orthosports1St PC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Hoover, AL
National Provider Identifier
1730701673
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
ORTHOSPORTS1ST PC
Practice address
1031 Brocks Gap Pkwy Ste 185
Hoover, AL 35244-4078
Phone
(205) 352-2911
Fax
(205) 352-2910
NPI assigned
May 14, 2020
Last updated
Oct 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Authorized official

Name
Mark Covin
Title
Controller
Phone
(205) 352-2911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0005X Primary

Addresses

Primary practice location

1031 Brocks Gap Pkwy Ste 185
Hoover, AL 35244-4078

Mailing address

1031 Brocks Gap Pkwy Ste 185
Hoover, AL 35244-4078
Phone (205) 352-2911

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 2053831251 Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200720003475 AL Part B Supplier - Clinic/Group Practice 8729402037 Receives reassigned benefits from 24 practitioners
Practice locations: Birmingham, AL; Hoover, AL; Madison, AL
O20210415000298 AL DME Supplier - Physician - Orthopedic/Orthopedic Surgery 8729402037 Practice locations: Hoover, AL

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory

Locations

1031 Brocks Gap Pkwy
Hoover, AL 35244

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 25

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 25

NPI Registry JSON

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1730701673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 BROCKS GAP PKWY STE 185",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352444078",
            "telephone_number": "205-352-2911",
            "fax_number": "205-352-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 BROCKS GAP PKWY STE 185",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352444078",
            "telephone_number": "205-352-2911",
            "fax_number": "205-352-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOSPORTS1ST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-14",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A",
        "authorized_official_last_name": "COVIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "205-352-2911"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "2053831251",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "2053831251",
            "address_1": "1031 Brocks Gap Pkwy Ste 185",
            "city": "Hoover",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352444078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Oct 16, 2025; 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.