Healthcare Provider Details

I. General information

NPI: 1306109103
Provider Name (Legal Business Name): BIRMINGHAM INFECTIOUS DISEASES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2012
Last Update Date: 09/04/2020
Certification Date: 09/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4704 CAHABA RIVER RD STE 101D
BIRMINGHAM AL
35243-2344
US

IV. Provider business mailing address

4704 CAHABA RIVER RD STE 101D
BIRMINGHAM AL
35243-2344
US

V. Phone/Fax

Practice location:
  • Phone: 205-739-2335
  • Fax:
Mailing address:
  • Phone: 205-879-8294
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. WILLIAM I LAPIDUS
Title or Position: AUTHORIZED OFFICIAL
Credential: MD
Phone: 205-739-2266