Healthcare Provider Details

I. General information

NPI: 1134205172
Provider Name (Legal Business Name): ALABAMA BRACE COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3616 7TH CT S
BIRMINGHAM AL
35222-3217
US

IV. Provider business mailing address

3616 7TH CT S
BIRMINGHAM AL
35222-3217
US

V. Phone/Fax

Practice location:
  • Phone: 205-324-2461
  • Fax: 205-324-7271
Mailing address:
  • Phone: 205-324-2461
  • Fax: 205-324-7271

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateAL

VIII. Authorized Official

Name: MRS. TRENA FIELDS
Title or Position: CONTROLLER
Credential:
Phone: 205-801-7127