Healthcare Provider Details

I. General information

NPI: 1659344984
Provider Name (Legal Business Name): ALABAMA ORTHOPEDIC SPINE & SPORTS MEDICINE ASSOCIATES P C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2006
Last Update Date: 02/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 GADSDEN HIGHWAY
BIRMINGHAM AL
35235
US

IV. Provider business mailing address

1801 GADSDEN HIGHWAY
BIRMINGHAM AL
35235
US

V. Phone/Fax

Practice location:
  • Phone: 205-838-3900
  • Fax: 205-838-3906
Mailing address:
  • Phone: 205-838-3900
  • Fax: 205-838-3906

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. ORLEAN BRUCE
Title or Position: ADMINISTRATOR
Credential:
Phone: 205-838-3900