Healthcare Provider Details
I. General information
NPI: 1356662894
Provider Name (Legal Business Name): CATHERINE BROOKE COTNEY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/18/2010
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1090 9TH AVE SW STE 100
BESSEMER AL
35022-4530
US
IV. Provider business mailing address
1600 7TH AVE S
BIRMINGHAM AL
35233-1711
US
V. Phone/Fax
- Phone: 205-481-1886
- Fax: 205-481-9034
- Phone: 205-638-2367
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | MD.33452 |
| License Number State | AL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | MD.33452 |
| License Number State | AL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: