Provider Demographics
NPI:1831137363
Name:BIRMINGHAM RADIOLOGICAL GROUP, PC
Entity Type:Organization
Organization Name:BIRMINGHAM RADIOLOGICAL GROUP, PC
Other - Org Name:BESSEMER OPEN MRI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS MANAGER/CFO
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:S
Authorized Official - Last Name:SIMMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-871-4274
Mailing Address - Street 1:2000A SOUTHBRIDGE PKWY
Mailing Address - Street 2:STE 300
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-7704
Mailing Address - Country:US
Mailing Address - Phone:205-871-4274
Mailing Address - Fax:205-871-4301
Practice Address - Street 1:1088 9TH AVE SW
Practice Address - Street 2:
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35022-4530
Practice Address - Country:US
Practice Address - Phone:205-432-0100
Practice Address - Fax:205-432-0105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)