Organization Active NPI

Simon Mirelman Urology, PC

  • Urology Physician
  • Birmingham, AL
National Provider Identifier
1801829833
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
SIMON MIRELMAN UROLOGY, PC
Practice address
513 Broakwood Blvd
Suite 500
Birmingham, AL 35209
Phone
(205) 877-2767
Fax
(205) 877-2914
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Dr. Simon Weiss Mirelman, MD
Title
Owner
Phone
(205) 874-8300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

513 Broakwood Blvd
Suite 500
Birmingham, AL 35209

Mailing address

2204 Lakeshore Drive
Suite 220
Birmingham, AL 35209
Phone (205) 874-8300

Other identifiers 3

IdentifierTypeStateIssuer
000051776MedicaidAL
009910394MedicaidAL
529932870MedicaidAL

National Provider Directory

National Provider Directory

Locations

1201 11th Ave S
Ste 510
Birmingham, AL 35205
Phone (205) 930-0080

513 Brookwood Blvd
Ste 500
Birmingham, AL 35209
Phone (205) 263-0093

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1801829833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 LAKESHORE DRIVE",
            "address_2": "SUITE 220",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35209",
            "telephone_number": "205-874-8300",
            "fax_number": "205-874-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 BROAKWOOD BLVD",
            "address_2": "SUITE 500",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35209",
            "telephone_number": "205-877-2767",
            "fax_number": "205-877-2914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMON MIRELMAN UROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "MIRELMAN",
        "authorized_official_first_name": "SIMON",
        "authorized_official_middle_name": "WEISS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-874-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000051776",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009910394",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529932870",
            "state": "AL"
        }
    ],
    "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 Apr 29, 2008; 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.