Healthcare Provider Details

I. General information

NPI: 1477661056
Provider Name (Legal Business Name): ZENKO J HRYNKIW, MD, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 04/28/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 MONTCLAIR RD SUITE 201
BIRMINGHAM AL
35213-1964
US

IV. Provider business mailing address

720 MONTCLAIR RD SUITE 201
BIRMINGHAM AL
35213-1964
US

V. Phone/Fax

Practice location:
  • Phone: 205-591-3566
  • Fax: 205-591-3567
Mailing address:
  • Phone: 205-591-3566
  • Fax: 205-591-3567

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number00016988
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number00011222
License Number StateAL

VIII. Authorized Official

Name: MRS. KIMBERLEY W BRADLEY
Title or Position: BILLING MANAGER
Credential:
Phone: 205-591-3566