Healthcare Provider Details

I. General information

NPI: 1346782307
Provider Name (Legal Business Name): BIRMINGHAM PHYSICIANS RADIOLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2016
Last Update Date: 11/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3425 COLONNADE PKWY
BIRMINGHAM AL
35243-2356
US

IV. Provider business mailing address

3425 COLONNADE PKWY
BIRMINGHAM AL
35243-2356
US

V. Phone/Fax

Practice location:
  • Phone: 205-823-3366
  • Fax: 205-823-6673
Mailing address:
  • Phone: 205-823-3366
  • Fax: 205-823-6673

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: ROSS W BARNETT
Title or Position: M.D./OWNER
Credential: M.D.
Phone: 334-386-9357