Provider Demographics
NPI:1649241159
Name:ALABAMA ORTHOPAEDIC CENTER, P.C.
Entity Type:Organization
Organization Name:ALABAMA ORTHOPAEDIC CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:THORNTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-802-6700
Mailing Address - Street 1:3525 INDEPENDENCE DR
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-5709
Mailing Address - Country:US
Mailing Address - Phone:205-802-6700
Mailing Address - Fax:205-802-6701
Practice Address - Street 1:3525 INDEPENDENCE DR
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-5709
Practice Address - Country:US
Practice Address - Phone:205-802-6700
Practice Address - Fax:205-802-6701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL510-76189Medicare PIN
AL515-57570Medicare PIN
ALF20057Medicare UPIN
ALF08396Medicare UPIN
AL515-53867Medicare PIN
ALI52575Medicare UPIN
ALG04911Medicare UPIN
AL510-22822Medicare PIN