Healthcare Provider Details

I. General information

NPI: 1932031432
Provider Name (Legal Business Name): BIRMINGHAM LONGEVITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1950 STONEGATE DR STE 315
VESTAVIA HLS AL
35242-2525
US

IV. Provider business mailing address

1950 STONEGATE DR STE 315
VESTAVIA HLS AL
35242-2525
US

V. Phone/Fax

Practice location:
  • Phone: 205-936-1407
  • Fax:
Mailing address:
  • Phone: 205-936-1407
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM MARK HAND JR.
Title or Position: COO
Credential:
Phone: 205-936-1407