Active NPI
Simon Mirelman Urology, PC
- Urology Physician
- Birmingham, AL
National Provider Identifier
1801829833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000051776 | Medicaid | AL | |
| 009910394 | Medicaid | AL | |
| 529932870 | Medicaid | AL |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Urology Physician
- Homewood, AL
- NPI 1801869391
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.