Healthcare Provider Details

I. General information

NPI: 1528071149
Provider Name (Legal Business Name): WEST ALABAMA EMERGENCY PHYSICIANS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 HOSPITAL DR
NORTHPORT AL
35476-3360
US

IV. Provider business mailing address

2330 UNIVERSITY BLVD SUITE 501
TUSCALOOSA AL
35401-1590
US

V. Phone/Fax

Practice location:
  • Phone: 205-333-4500
  • Fax: 205-333-4552
Mailing address:
  • Phone: 205-366-3334
  • Fax: 205-344-9031

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number StateAL

VIII. Authorized Official

Name: MR. DERICK MORRING BEEM
Title or Position: ADMINISTRATOR
Credential:
Phone: 205-344-9019