Healthcare Provider Details

I. General information

NPI: 1285690776
Provider Name (Legal Business Name): CARDIOLOGY , PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2006
Last Update Date: 11/14/2024
Certification Date: 11/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 PRINCETON AVE SW STE 707
BIRMINGHAM AL
35211-1395
US

IV. Provider business mailing address

801 PRINCETON AVE SW SUITE 707
BIRMINGHAM AL
35211-1309
US

V. Phone/Fax

Practice location:
  • Phone: 205-780-4330
  • Fax: 205-780-7775
Mailing address:
  • Phone: 205-780-4330
  • Fax: 205-780-7775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number StateAL

VIII. Authorized Official

Name: JOHN D CADE JR.
Title or Position: CFO
Credential:
Phone: 205-949-5229