Healthcare Provider Details

I. General information

NPI: 1891174488
Provider Name (Legal Business Name): VIVIAN B YEILDING M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2015
Last Update Date: 10/04/2023
Certification Date: 10/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

513 BROOKWOOD BLVD STE 60
BIRMINGHAM AL
35209-6862
US

IV. Provider business mailing address

513 BROOKWOOD BLVD STE 60
BIRMINGHAM AL
35209-6862
US

V. Phone/Fax

Practice location:
  • Phone: 205-588-5007
  • Fax: 205-334-3001
Mailing address:
  • Phone: 205-588-5007
  • Fax: 205-334-3001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number36459
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: