MEDICARE: ADVANCED INTERNAL MEDICINE PC

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
1	207R00000X	Internal Medicine Physician	00023549	AL

General Provider Information

NPI Number	:	1558528356
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED INTERNAL MEDICINE PC

Provider Business Mailing Address
First Line	:	P O BOX 430125
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35243
Country	:	US
Telephone Number	:	205-595-0395
Fax Number	:	205-599-9024

Provider Business Practice Location Address
First Line	:	2008 STONEGATE TRL STE 100
Second Line	:
City	:	VESTAVIA HLS
State	:	AL
Zip	:	35242-2267
Country	:	US
Telephone Number	:	205-595-0395
Fax Number	:	205-599-9024

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SHARON BROM CHANEY
Credential	:	MD
Telephone Number	:	205-595-0395

Provider Enumeration Date	:	05/20/2008
Last Update Date	:	02/04/2025

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1083702849 — SHARON BROM CHANEY M.D.
Practice Location Address:

2008 STONEGATE TRL 100
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1427147636 — DR. THAD FRANKLIN RYALS M.D.
Practice Location Address:

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1568529923 — E. TODD FALLS, DPM, LLC
Practice Location Address:

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Directions to “ADVANCED INTERNAL MEDICINE PC ” Practice Location

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