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Contact Information

BIRMINGHAM PODIATRY PC
805 ST. VINCENT'S DRIVE
SUITE 420
BIRMINGHAM, AL35205-2704
 Phone: 205-324-8511
 Fax: 205-324-0319
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for BIRMINGHAM PODIATRY PC

NPI # 1477695013
LBN Legal business name BIRMINGHAM PODIATRY PC
Authorized official JOHN ROBERSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/12/2007
Last updated 03/23/2026 - About 2 months ago
Identifiers
AL Medicaid 000070338
AL Medicaid 000070353
AL Medicaid 000070942
AL Medicaid 1174562755
AL Medicaid 890009900
Other 051070338 BLUE CROSS
Other 051070353 BLUE CROSS
Other 051070942 BLUE CROSS
Other 051514505 BLUE CROSS
AL Other 051598947 BLUE CROSS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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