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NPI Code Detail

MEDICARE: BIRMINGHAM NEUROPSYCHOLOGY

MEDICARE: BIRMINGHAM NEUROPSYCHOLOGY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103G00000XClinical Neuropsychologist819AL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2680013336OTHERALRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1362466400OTHERALUS DEPT. OF LABOR
3051503120OTHERALFEDERAL BLUE CROSS
4051501026OTHERALBLUE CROSS OF ALABAMA

General Provider Information

NPI Number : 1003039751
Entity Type Code : Organization
Provider Name (Legal Business Name) : BIRMINGHAM NEUROPSYCHOLOGY
Provider Business Mailing Address
First Line : 4260 CAHABA HEIGHTS CT STE 180
Second Line :
City : VESTAVIA
State : AL
Zip : 35243-5711
Country : US
Telephone Number : 205-329-7815
Fax Number :
Provider Business Practice Location Address
First Line : 4260 CAHABA HEIGHTS CT STE 180
Second Line :
City : VESTAVIA
State : AL
Zip : 35243-5711
Country : US
Telephone Number : 205-329-7815
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. RICHARD L AZRIN
Credential : PHD
Telephone Number : 205-329-7815
Provider Enumeration Date : 04/11/2007
Last Update Date : 06/16/2025

Similar Medicare Providers

1881693653 — HEALTH STRIDES, INC.
Practice Location Address:
4268 CAHABA HEIGHTS CT , SUITE 103
VESTAVIA, AL
35243-5711
Practice Phone: 205-824-0775
Practice Fax: 205-313-5791
1497765622 — DR. CHRISTOPHER E. LITTON PSY.D.
Practice Location Address:
4260 CAHABA HEIGHTS CT STE 182
VESTAVIA, AL
35243-5711
Practice Phone: 205-259-1744
Practice Fax: 205-329-7816
1003905787 — RICHARD L AZRIN PH. D.
Practice Location Address:
4260 CAHABA HEIGHTS CT , STE 180
VESTAVIA, AL
35243-5711
Practice Phone: 53-297-8152
Practice Fax: 205-329-7816
1295944247 — NIRMALA REDDY JETTY MD
Practice Location Address:
4268 CAHABA HEIGHTS CT , 190
VESTAVIA, AL
35243-5711
Practice Phone: 205-934-5038
Practice Fax: 205-972-8353
1487899522 — KIMBERLY S WILLIAMS LPC, NCC
Practice Location Address:
4268 CAHABA HEIGHTS CT , SUITE 166
VESTAVIA, AL
35243-5711
Practice Phone: 205-586-5964
Practice Fax:
1649502618 — MS. ASHLIE GRILL WALKER BCBA
Practice Location Address:
4244 CAHABA HEIGHTS CT
VESTAVIA, AL
35243-5711
Practice Phone: 205-253-6903
Practice Fax: 205-278-5869

Directions to “BIRMINGHAM NEUROPSYCHOLOGY ” Practice Location

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