Organization Active NPI

Surgical Associates. P.C.

  • Surgery Physician
  • Birmingham, AL
National Provider Identifier
1821065285
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SURGICAL ASSOCIATES. P.C.
Practice address
513 Brookwood Blvd
BPM 501
Birmingham, AL 35209-6862
Phone
(205) 930-8010
Fax
(205) 930-8014
NPI assigned
Mar 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Authorized official

Name
Mr. John D Hooton
Title
Adminstrator
Phone
(205) 930-8010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

513 Brookwood Blvd
BPM 501
Birmingham, AL 35209-6862

Mailing address

513 Brookwood Blvd
BMP 501
Birmingham, AL 35209-6862
Phone (205) 930-8010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050608000739 AL Part B Supplier - Clinic/Group Practice 8426091604 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: Birmingham, AL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

513 Brookwood Blvd
Ste 501
Birmingham, AL 35209
Phone (205) 930-8010

Practitioners & affiliated clinicians

Practitioners 9

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": "1141344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1821065285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 BROOKWOOD BLVD",
            "address_2": "BMP 501",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096862",
            "telephone_number": "205-930-8010",
            "fax_number": "205-930-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 BROOKWOOD BLVD",
            "address_2": "BPM 501",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096862",
            "telephone_number": "205-930-8010",
            "fax_number": "205-930-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSOCIATES. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-03",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "HOOTON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "205-930-8010",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "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 Mar 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.