Healthcare Provider Details

I. General information

NPI: 1790612174
Provider Name (Legal Business Name): BIRMINGHAM PAIN CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4515 SOUTHLAKE PKWY STE 200
HOOVER AL
35244-3319
US

IV. Provider business mailing address

4515 SOUTHLAKE PKWY STE 200
HOOVER AL
35244-3319
US

V. Phone/Fax

Practice location:
  • Phone: 205-313-7246
  • Fax:
Mailing address:
  • Phone: 205-313-7246
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name: LYNDSI BROWN
Title or Position: APP
Credential: PA-C
Phone: 205-313-7246