Provider Demographics
NPI:1346305752
Name:FOOT SPECIALISTS OF BIRMINGHAM, PC
Entity Type:Organization
Organization Name:FOOT SPECIALISTS OF BIRMINGHAM, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DPM
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:E
Authorized Official - Last Name:LINDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-445-0661
Mailing Address - Street 1:1 INDEPENDENCE PLZ
Mailing Address - Street 2:SUITE 530
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-2629
Mailing Address - Country:US
Mailing Address - Phone:205-445-0661
Mailing Address - Fax:205-445-0664
Practice Address - Street 1:1 INDEPENDENCE PLZ
Practice Address - Street 2:SUITE 530
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-2629
Practice Address - Country:US
Practice Address - Phone:205-445-0661
Practice Address - Fax:205-445-0664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-26
Last Update Date:2013-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL4668780001Medicare NSC
ALU76799Medicare UPIN
ALL057Medicare PIN