Organization Active NPI

Covenant Anesthesia PC

  • Certified Registered Nurse Anesthetist
  • Birmingham, AL
National Provider Identifier
1780040592
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
COVENANT ANESTHESIA PC
Practice address
2000 Stonegate TRL Ste 112
Birmingham, AL 35242-2237
Phone
(205) 979-5882
Fax
(205) 979-1248
NPI assigned
Jan 8, 2016
Last updated
Jan 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Authorized official

Name
Brian K McNiel
Title
President
Phone
(205) 317-4622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

2000 Stonegate TRL Ste 112
Birmingham, AL 35242-2237

Mailing address

2000 Stonegate TRL Ste 112
Birmingham, AL 35242-2237
Phone (205) 979-5882

National Provider Directory

National Provider Directory

Locations

2000 Stonegate Trl
Ste 112
Vestavia Hls, AL 35242
Phone (205) 380-4232

NPI Registry JSON

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

{
    "created_epoch": "1452211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1780040592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 STONEGATE TRL STE 112",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352422237",
            "telephone_number": "205-979-5882",
            "fax_number": "205-979-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 STONEGATE TRL STE 112",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352422237",
            "telephone_number": "205-979-5882",
            "fax_number": "205-979-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT ANESTHESIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-08",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "MCNIEL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-317-4622"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "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 Jan 26, 2016; 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.