Brookwood Primary Care Cahaba Heights, L.L.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20180 Issued in AL

Legal business name

BROOKWOOD PRIMARY CARE CAHABA HEIGHTS, L.L.C.

Doing business as

Brookwood Primary Care Cahaba Heights, LLC

Practice address

4274 Cahaba Heights CT
Suite 130
Birmingham, AL 35243-5712

Phone

(205) 977-8484

NPI assigned

Jul 31, 2007

Last updated

May 26, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Wesley O. James

Title

Regional Cfo, Tenet

Phone

(404) 265-5009

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brookwood Primary Care Cahaba Heights, LLC Doing business as

Practitioners 1

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.

• Tracy Christine Jacobs

  • Family Medicine Physician
  • Birmingham, AL
  • NPI 1245498989
  NPD (past)

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1790975217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4902 VALLEYDALE RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352424613",
            "telephone_number": "205-980-8099",
            "fax_number": "205-980-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4274 CAHABA HEIGHTS CT",
            "address_2": "SUITE 130",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352435712",
            "telephone_number": "205-977-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKWOOD PRIMARY CARE CAHABA HEIGHTS, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "REGIONAL CFO, TENET",
        "authorized_official_telephone_number": "404-265-5009",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "20180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529932928",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookwood Primary Care Cahaba Heights, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Family Medicine Physician in Alabama

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