Provider Demographics
NPI:1285676619
Name:CARDIOVASCULAR CONSULTANTS OF ALABAMA, P.C.
Entity Type:Organization
Organization Name:CARDIOVASCULAR CONSULTANTS OF ALABAMA, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ALFRED
Authorized Official - Middle Name:WH
Authorized Official - Last Name:STANLEY
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:205-250-6964
Mailing Address - Street 1:2022 BROOKWOOD MED CTR DR
Mailing Address - Street 2:ACC SUITE 415
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-6808
Mailing Address - Country:US
Mailing Address - Phone:205-250-6964
Mailing Address - Fax:205-250-8916
Practice Address - Street 1:2022 BROOKWOOD MED CTR DR
Practice Address - Street 2:ACC SUITE 415
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-6808
Practice Address - Country:US
Practice Address - Phone:205-250-6964
Practice Address - Fax:205-250-8916
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2013-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1821093790OtherALFRED STANELY, MD -NPI #
AL1932108826OtherJEFFREY HERALD, CRNP/NPI#
AL1275537169OtherNPI # SAJI JACOB, MD
AL1275537169OtherNPI # SAJI JACOB, MD
ALG86856Medicare UPIN
ALQ32733Medicare UPIN
ALH16440Medicare UPIN