MEDICARE: UAB STV ORTHOPEDICS, LLC

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	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician
2	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1710054432
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UAB STV ORTHOPEDICS, LLC

Provider Business Mailing Address
First Line	:	2700 10TH AVE S STE 200
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35205-1248
Country	:	US
Telephone Number	:	205-933-7838
Fax Number	:	205-933-0951

Provider Business Practice Location Address
First Line	:	2700 10TH AVE S STE 200
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35205-1248
Country	:	US
Telephone Number	:	205-933-7838
Fax Number	:	205-933-0951

Authorized Official
Title or Position	:	CEO
Name	:	WILLIAM FAULL
Credential	:
Telephone Number	:	205-933-7838

Provider Enumeration Date	:	11/29/2006
Last Update Date	:	04/20/2026

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