Healthcare Provider Details

I. General information

NPI: 1003974288
Provider Name (Legal Business Name): INVERNESS FAMILY MEDICINE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4902 VALLEYDALE RD
BIRMINGHAM AL
35242-4613
US

IV. Provider business mailing address

4902 VALLEYDALE RD
BIRMINGHAM AL
35242-4613
US

V. Phone/Fax

Practice location:
  • Phone: 205-980-8099
  • Fax: 205-980-2606
Mailing address:
  • Phone: 205-980-8099
  • Fax: 205-980-2606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number40506
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number40506
License Number StateAL

VIII. Authorized Official

Name: MICHAEL ERIC BREWER
Title or Position: PRESIDENT
Credential: M D
Phone: 205-980-8099