Birmingham Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

09986 Issued in AL

Legal business name

BIRMINGHAM SURGERY CENTER, LLC

Practice address

2621 19TH St S
Birmingham, AL 35209-1913

Phone

(205) 271-8200

Fax

(205) 271-8332

NPI assigned

Feb 1, 2006

Organization subpart

No

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

Authorized official

Name

Jennifer Boyd Baldock

Title

Officer and Authorized Official

Phone

(615) 234-5954

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Listed as

Birmingham Surgery CenterCCN 01C0001027

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676160000000",
    "number": "1790756237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352091913",
            "telephone_number": "205-271-8200",
            "fax_number": "205-271-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352091913",
            "telephone_number": "205-271-8200",
            "fax_number": "205-271-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRMINGHAM SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2023-02-12",
        "certification_date": "2023-02-12",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "BOYD",
        "authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-234-5954"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AL",
            "license": "09986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ASC0079C",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000029229",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Birmingham Recovery Center Inc.
• Birmingham Regional Paratransit
• Birmingham SNF Opco LLC
• Birmingham Speech & Hearing Assoc
• Birmingham Speech & Hearing Associates
• Birmingham Surgical, P.C.
• Birmingham Therapy Services, LLC
• Birmingham VA Medical Center
• Birmingham VA Medical Center
• Birmingham VA Medical Center

• All providers in Birmingham, AL
• Ambulatory Surgical Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.