Provider Demographics
NPI:1043305196
Name:DR.'S HEILPERN & REYNOLDS, MD'S, PC
Entity Type:Organization
Organization Name:DR.'S HEILPERN & REYNOLDS, MD'S, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:H
Authorized Official - Last Name:HEILPERN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-979-2999
Mailing Address - Street 1:502 MONTGOMERY HWY
Mailing Address - Street 2:STE 202
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35216
Mailing Address - Country:US
Mailing Address - Phone:205-979-2999
Mailing Address - Fax:205-979-2750
Practice Address - Street 1:502 MONTGOMERY HWY
Practice Address - Street 2:STE 202
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35216
Practice Address - Country:US
Practice Address - Phone:205-979-2999
Practice Address - Fax:205-979-2750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========OtherEIN TAX NUMBER