Provider Demographics
NPI:1508920141
Name:WEST ALABAMA NEUROSURGERY & SPINE, P.C.
Entity Type:Organization
Organization Name:WEST ALABAMA NEUROSURGERY & SPINE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:GIVHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-752-0441
Mailing Address - Street 1:701 UNIVERSITY BLVD E
Mailing Address - Street 2:SUITE 702
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35401-2086
Mailing Address - Country:US
Mailing Address - Phone:205-752-0441
Mailing Address - Fax:205-344-6446
Practice Address - Street 1:701 UNIVERSITY BLVD E
Practice Address - Street 2:SUITE 702
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35401-2086
Practice Address - Country:US
Practice Address - Phone:205-752-0441
Practice Address - Fax:205-344-6446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty