Lifeline Vascular Birmingham, Inc

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

LIFELINE VASCULAR BIRMINGHAM, INC

Practice address

201 London Pkwy
Suite 500
Birmingham, AL 35211-6304

Phone

(205) 942-9896

Fax

(205) 942-9948

NPI assigned

Mar 28, 2011

Last updated

Mar 28, 2011By 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

James Hilger

Title

VP Controller

Phone

(253) 280-9501

Specialties & licenses 1

Addresses

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.

• Gerald A Beathard, MD

  • Nephrology Physician
  • Galveston, TX
  • NPI 1467654541
  NPD (past)

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

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301270400000",
    "number": "1851690069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HAWTHORN PKWY",
            "address_2": "SUITE 410",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611446",
            "telephone_number": "847-388-2001",
            "fax_number": "847-388-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LONDON PKWY",
            "address_2": "SUITE 500",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352116304",
            "telephone_number": "205-942-9896",
            "fax_number": "205-942-9948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE VASCULAR BIRMINGHAM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-28",
        "last_updated": "2011-03-28",
        "status": "A",
        "authorized_official_last_name": "HILGER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "VP CONTROLLER",
        "authorized_official_telephone_number": "253-280-9501"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Watch Pharmacy, LLC (LifeWatch Pharmacy)
• Lifeguard Ambulance Service LLC
• Lifeguard Ambulance Service LLC
• Lifeguard Ambulance Service of Alabama LLC
• Lifeguard Transportation Service Inc
• Lifepractical LLC
• Lifestance Health - Alabama, LLC Dba Lifestance Health
• Lifestyle Management of Birmingham, Inc
• Caleb Walter Light
• Robert Kirkland Lightfoot, M.S.

• Nephrology Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Nephrology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; 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.