Healthcare Provider Details

I. General information

NPI: 1326076100
Provider Name (Legal Business Name): BIRMINGHAM ALLERGY & ASTHMA SPECIALISTS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 07/01/2022
Certification Date: 07/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3125 INDEPENDENCE DR STE 100
BIRMINGHAM AL
35209-4163
US

IV. Provider business mailing address

3125 INDEPENDENCE DR STE 100
BIRMINGHAM AL
35209-4163
US

V. Phone/Fax

Practice location:
  • Phone: 205-943-1197
  • Fax: 205-879-2995
Mailing address:
  • Phone: 205-943-1197
  • Fax: 205-879-8259

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number
License Number State

VIII. Authorized Official

Name: CAROL SIDES
Title or Position: BILLING & INSURANCE SPECIALIST
Credential:
Phone: 205-943-1197