Healthcare Provider Details

I. General information

NPI: 1598604233
Provider Name (Legal Business Name): NEXTGEN HEALTH & TECHNOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 BEACON PKWY W STE 107A
BIRMINGHAM AL
35209-3102
US

IV. Provider business mailing address

200 BEACON PKWY W STE 107A
BIRMINGHAM AL
35209-3102
US

V. Phone/Fax

Practice location:
  • Phone: 205-381-5341
  • Fax:
Mailing address:
  • Phone: 205-381-5341
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. HUTHAIFA KHADER
Title or Position: MANAGER
Credential:
Phone: 205-381-5341