STV Neuro I LLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

STV NEURO I LLC

Practice address

806 Saint Vincents Dr
Birmingham, AL 35205-1684

Phone

(205) 986-5200

Fax

(205) 986-3250

NPI assigned

Apr 20, 2016

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

VINCENTIAN VENTURES OF NORTH ALABAMAAs reported in NPPES

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

Authorized official

Name

Brandon Williams

Title

Cfo

Phone

(205) 838-3766

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 5

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.

• Samuel R. Bowen II, MD

  • Neurological Surgery Physician
  • Birmingham, AL
  • NPI 1790734226
  Medicare reassignment Care Compare group NPD
• Benjamin Banks Fulmer, MD

  • Neurological Surgery Physician
  • Birmingham, AL
  • NPI 1750331104
  Medicare reassignment Care Compare group NPD
• Kathy Tyler Martin, FNP

  • Nurse Practitioner
  • Birmingham, AL
  • NPI 1215978390
  Medicare reassignment Care Compare group NPD
• William Carvel Woodall III, MD

  • Neurological Surgery Physician
  • Birmingham, AL
  • NPI 1578513925
  Medicare reassignment Care Compare group NPD
• Dominique Flage, PA-C

  • Physician Assistant
  • Birmingham, AL
  • NPI 1285219360
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1881048403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MEDICAL PARK DR E",
            "address_2": "BLDG 46, STE 310, FINANCE",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353401",
            "telephone_number": "205-838-5286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 SAINT VINCENTS DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051684",
            "telephone_number": "205-986-5200",
            "fax_number": "205-986-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STV NEURO I LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VINCENTIAN VENTURES OF NORTH ALABAMA",
        "enumeration_date": "2016-04-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "205-838-3766"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alvin W Sturgis, RN
• Kathy H. Stutsman, CCC-SLP
• Meredith K Stutts, LICSW
• STV Cardiology Clinic LLC
• STV Cardiothoracic Surgeons LLC
• STV Pulmonary Group LLC
• STV Sports Medicine & Orthopedics LLC
• STV Sports Medicine and Orthopedics, LLC
• Stvbhm Cardiology Clinic LLC
• Stylesbyteairamonroe LLC

• Neurological Surgery Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Neurological Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.