Provider Demographics
NPI:1063668515
Name:ALABAMA NEUROLOGY ASSOCIATES, PC
Entity Type:Organization
Organization Name:ALABAMA NEUROLOGY ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:S
Authorized Official - Last Name:RISER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-803-2210
Mailing Address - Street 1:509 BROOKWOOD BLVD
Mailing Address - Street 2:STE # 101A
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209
Mailing Address - Country:US
Mailing Address - Phone:205-803-2210
Mailing Address - Fax:205-803-2214
Practice Address - Street 1:509 BROOKWOOD BLVD
Practice Address - Street 2:STE # 101A
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-6801
Practice Address - Country:US
Practice Address - Phone:205-803-2210
Practice Address - Fax:205-803-2214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-15
Last Update Date:2008-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL12140174400000X
AL12139174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51505043OtherBCBS PROVIDER # DR JOHN RISER
AL51505028OtherBCBS PROVIDER # DR. EMILY RISER
AL51505043OtherMEDICARE PROVIDER NUMBER DR. JOHN RISER
AL51505028OtherEMILY RISER MEDICARE PROVIDER #
ALC74511DR.EMILY RISERMedicare UPIN
AL51505043OtherMEDICARE PROVIDER NUMBER DR. JOHN RISER