Healthcare Provider Details

I. General information

NPI: 1205957404
Provider Name (Legal Business Name): BRENT A PARNELL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 07/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2006 BROOKWOOD MEDICAL CTR DR WMP SUITE402
BIRMINGHAM AL
35209-6899
US

IV. Provider business mailing address

2006 BROOKWOOD MEDICAL CTR DR WMP SUITE402
BIRMINGHAM AL
35209-6899
US

V. Phone/Fax

Practice location:
  • Phone: 205-397-9000
  • Fax: 205-397-9001
Mailing address:
  • Phone: 205-397-9000
  • Fax: 205-397-9001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License NumberMD.35078
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberMD.35078
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: