Organization Name: | BROOKWOOD SPORTS AND ORTHOPEDICS, LLC |
NPI Number: | 1962827659 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WESLEY O. JAMES (REGIONAL CFO, TENET) |
Mailing Address: | 4500 Montevallo Rd Suite E101 Irondale |
State: | AL US |
Postal Code: | 352103129 |
Phone Number: | 2059404690 |
Fax Number: | 2057774888 |
NPI Enumeration Date: | 03/04/2014 |
NPI Last Update Date: | 05/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |