Phares Radiology Associates PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

13742 Issued in AL

Legal business name

PHARES RADIOLOGY ASSOCIATES PC

Practice address

48 Medical Park Dr E
Suite 356
Birmingham, AL 35235-3400

Phone

(205) 640-4623

Fax

(866) 546-2124

NPI assigned

Jul 28, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Jacki Bailey

Title

Admin

Phone

(205) 699-1632

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434672000000",
    "number": "1912911538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 ALTADENA RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352434506",
            "telephone_number": "205-699-1632",
            "fax_number": "766-546-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 MEDICAL PARK DR E",
            "address_2": "SUITE 356",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353400",
            "telephone_number": "205-640-4623",
            "fax_number": "866-546-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARES RADIOLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2015-06-19",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "JACKI",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "205-699-1632",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "13742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PIN",
            "identifier": "P00317620",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PAMELA KULBACK M.D. BCBS",
            "identifier": "51532841",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "DE8136",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dangquang Pham
• Nicholas Pham, MD
• Vincent Quang Pham, M.D.
• Xuan-Dao Thi Pham, M.D.
• Peter-Trung Duc Phan, M.D.
• Kelly Anne Pharis
• Pharmacotherapy Consultant Service, LLC
• Pharmacy Link Inc
• Pharmacy Solutions, LLC
• Pharmala Specialty Pharmacy LLC

• Diagnostic Radiology Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Diagnostic Radiology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; 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.