Greystone Back Pain Center, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

GREYSTONE BACK PAIN CENTER, LLC

Practice address

101 Missionary Ridge Suite 200B
Birmingham, AL 35242

Phone

(205) 263-0288

Fax

(205) 980-0133

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David B Wilhelm, M.D.

Title

President

Phone

(205) 263-0288

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831301969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 383021",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352383021",
            "telephone_number": "205-263-0288",
            "fax_number": "205-980-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MISSIONARY RIDGE SUITE 200B",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35242",
            "telephone_number": "205-263-0288",
            "fax_number": "205-980-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREYSTONE BACK PAIN CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILHELM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-263-0288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51000762",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalia Beatriz Grenett, PA-C
• Miles E Gresham, M.D.
• Tiesha Gresham, REGISTERED NURSE
• Mark Allan Greve, MD
• Callie Grey
• Greystone Counseling and Consulting, LLC
• Greystone Dermatology
• Greystone Family Medicine PC
• Greystone Internal Medicine - Brookwood, L.L.C.
• Greystone Internal Medicine, PC

• Physical Therapy Clinic/Center in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Physical Therapy Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.