Organization Active NPI

Brookwood Internal Medicine, P.C.

Doing business as Harpersville Medical Clinic

  • Multi-Specialty Clinic/Center
  • Birmingham, AL
National Provider Identifier
1972558831
Registry record updated Jun 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
BROOKWOOD INTERNAL MEDICINE, P.C.
Doing business as
Harpersville Medical Clinic
Practice address
2017 Canyon Road
Suite # 39
Birmingham, AL 35216-1928
Phone
(205) 871-7746
Fax
(205) 871-9234
NPI assigned
May 22, 2006
Last updated
Jun 2, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
BROOKWOOD INTERNAL MEDICINE, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 2, 2010

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

Authorized official

Name
Ms. Catherine C Crow II
Title
Administrator
Phone
(205) 871-7746

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

2017 Canyon Road
Suite # 39
Birmingham, AL 35216-1928

Mailing address

2017 Canyon Road
Suite # 39
Birmingham, AL 35216-1928
Phone (205) 871-7746

Other identifiers 6

IdentifierTypeStateIssuer
000095980MedicaidAL
009944205MedicaidAL
000095978MedicaidAL
009941415MedicaidAL
ACSC7326OtherALCHARLES B. CROW III, M.D.
1356338842OtherALNPI CHARLES CROW

Other names 1

  • Harpersville Medical Clinic Doing business as

National Provider Directory

National Provider Directory
Part of
Brookwood Internal Med PC

Locations

2017 Canyon Rd
#39
Vestavia Hills, AL 35216
Phone (205) 871-7746

2017 Canyon Rd
Ste 39
Vestavia Hills, AL 35216
Phone (205) 871-7746

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275436800000",
    "number": "1972558831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 CANYON ROAD",
            "address_2": "SUITE # 39",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352161928",
            "telephone_number": "205-871-7746",
            "fax_number": "205-871-9234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 CANYON ROAD",
            "address_2": "SUITE # 39",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352161928",
            "telephone_number": "205-871-7746",
            "fax_number": "205-871-9234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKWOOD INTERNAL MEDICINE, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROOKWOOD INTERNAL MEDICINE, P.C.",
        "enumeration_date": "2006-05-22",
        "last_updated": "2010-06-02",
        "status": "A",
        "authorized_official_last_name": "CROW",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "205-871-7746",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000095980",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009944205",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000095978",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009941415",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHARLES B. CROW III, M.D.",
            "identifier": "ACSC7326",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI CHARLES CROW",
            "identifier": "1356338842",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harpersville Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 2, 2010; 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.