MEDICARE: ADVANCED CARDIAC SOLUTIONS, 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	333600000X	Pharmacy	111278	AL
2	332B00000X	Durable Medical Equipment & Medical Supplies	111278	AL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	51507665	OTHER	AL	BCBS MEDICARE PROVIDER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	51509120	OTHER	AL	BCBS MAJOR MEDICAL

General Provider Information

NPI Number	:	1679570782
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED CARDIAC SOLUTIONS, PC

Provider Business Mailing Address
First Line	:	401 19TH ST N
Second Line	:	SUITE 105
City	:	BESSEMER
State	:	AL
Zip	:	35020-4801
Country	:	US
Telephone Number	:	205-481-2040
Fax Number	:	205-481-2040

Provider Business Practice Location Address
First Line	:	401 19TH ST N
Second Line	:	SUITE 105
City	:	BESSEMER
State	:	AL
Zip	:	35020-4801
Country	:	US
Telephone Number	:	205-481-2040
Fax Number	:	205-481-2041

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MR. TIM ROGERS
Credential	:	RPH
Telephone Number	:	205-481-4876

Provider Enumeration Date	:	07/05/2005
Last Update Date	:	09/11/2025

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Directions to “ADVANCED CARDIAC SOLUTIONS, PC ” Practice Location

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