Healthcare Provider Details

I. General information

NPI: 1043262124
Provider Name (Legal Business Name): THE ORTHOPEDIC CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 07/05/2023
Certification Date: 07/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3102 RAINBOW DR
RAINBOW CITY AL
35906-5804
US

IV. Provider business mailing address

3102 RAINBOW DR
RAINBOW CITY AL
35906-5804
US

V. Phone/Fax

Practice location:
  • Phone: 256-546-8127
  • Fax: 256-547-6720
Mailing address:
  • Phone: 256-546-8127
  • Fax: 256-547-6720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1034563
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number13891
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number08437
License Number StateAL
# 4
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number24950
License Number StateAL
# 5
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number23975
License Number StateAL

VIII. Authorized Official

Name: DR. DANIEL R. SPARKS
Title or Position: MD
Credential:
Phone: 256-546-8127