Healthcare Provider Details

I. General information

NPI: 1255738605
Provider Name (Legal Business Name): JAMES CILIMBERG P.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2014
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 HIGHWAY 280 STE 200
BIRMINGHAM AL
35242-5186
US

IV. Provider business mailing address

4200 COLONNADE PKWY
BIRMINGHAM AL
35243-2342
US

V. Phone/Fax

Practice location:
  • Phone: 205-716-6900
  • Fax: 205-939-0242
Mailing address:
  • Phone: 205-971-7613
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA.1024
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: