=====================================================
General NPI Number Information
=====================================================
NPI Number | 1790612174
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BIRMINGHAM PAIN CENTER
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/07/2026
-----------------------------------------------------
Last Update Date | 05/07/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4515 SOUTHLAKE PKWY STE 200
-----------------------------------------------------
City | HOOVER
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35244-3319
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 205-313-7246
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4515 SOUTHLAKE PKWY STE 200
-----------------------------------------------------
City | HOOVER
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35244-3319
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 205-313-7246
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | APP
-----------------------------------------------------
Name | LYNDSI BROWN
-----------------------------------------------------
Credential | PA-C
-----------------------------------------------------
Telephone | 205-313-7246
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363A00000X
-----------------------------------------------------
Taxonomy Name | Physician Assistant
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------