NPIMap

Organization Active NPI

Brookwood Psychiatric Associates

  • Psychiatry Physician
  • Birmingham, AL
National Provider Identifier
1972774362
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0012918 Issued in AL
Legal business name
BROOKWOOD PSYCHIATRIC ASSOCIATES
Practice address
2018 Brookwood Medical Ctr Dr
Pob Suite 311
Birmingham, AL 35209-6898
Phone
(205) 329-7805
Fax
(205) 329-7806
NPI assigned
Mar 13, 2008
Last updated
Mar 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Authorized official

Name
Dr. Stuart C Tieszen, M.D.NPI 1992812606
Title
Doctor
Phone
(205) 329-7805

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0012918 AL Primary

Addresses

Primary practice location

2018 Brookwood Medical Ctr Dr
Pob Suite 311
Birmingham, AL 35209-6898

Mailing address

2018 Brookwood Medical Ctr Dr
Pob Suite 311
Birmingham, AL 35209-6898
Phone (205) 329-7805

Other identifiers 2

IdentifierTypeStateIssuer
C75916OtherALUPIN
1168112100OtherALUS DEPTPARTMENT OF LABOR

National Provider Directory

National Provider Directory

Locations

2018 Medical Center Dr
Ste 311
Birmingham, AL 35209
Phone (205) 329-7805

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": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1972774362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2018 BROOKWOOD MEDICAL CTR DR",
            "address_2": "POB SUITE 311",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096898",
            "telephone_number": "205-329-7805",
            "fax_number": "205-329-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 BROOKWOOD MEDICAL CTR DR",
            "address_2": "POB SUITE 311",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096898",
            "telephone_number": "205-329-7805",
            "fax_number": "205-329-7806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKWOOD PSYCHIATRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "TIESZEN",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "205-329-7805",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "0012918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "C75916",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPTPARTMENT OF LABOR",
            "identifier": "1168112100",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 13, 2008; 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.