Healthcare Provider Details

I. General information

NPI: 1710800040
Provider Name (Legal Business Name): BIRMINGHAM RECOVERY CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 INTERNATIONAL PARK DR
BIRMINGHAM AL
35243-4253
US

IV. Provider business mailing address

2441 INTERNATIONAL PARK DR
BIRMINGHAM AL
35243-4252
US

V. Phone/Fax

Practice location:
  • Phone: 205-548-3202
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: BRANDON F DUAN
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 205-813-7403