Healthcare Provider Details

I. General information

NPI: 1992140784
Provider Name (Legal Business Name): ERICA CHRISTEN BJORNSTAD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2013
Last Update Date: 09/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 7TH AVE S # 516
BIRMINGHAM AL
35233
US

IV. Provider business mailing address

1600 7TH AVE S # 516
BIRMINGHAM AL
35233-1711
US

V. Phone/Fax

Practice location:
  • Phone: 205-638-9781
  • Fax: 205-975-7051
Mailing address:
  • Phone: 205-638-9781
  • Fax: 205-975-7051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number2016-00254
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code2080P0210X
TaxonomyPediatric Nephrology Physician
License NumberMD.38090
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: