Provider Demographics
NPI:1841216389
Name:BIRMINGHAM HEMATOLOGY ONCOLOGY ASSOC LLC
Entity Type:Organization
Organization Name:BIRMINGHAM HEMATOLOGY ONCOLOGY ASSOC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:ADLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-803-4330
Mailing Address - Street 1:500 OFFICE PARK DRIVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35223
Mailing Address - Country:US
Mailing Address - Phone:205-803-4330
Mailing Address - Fax:205-803-4354
Practice Address - Street 1:2022 MEDICAL CENTER DR STE 628
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-6889
Practice Address - Country:US
Practice Address - Phone:205-870-4783
Practice Address - Fax:205-879-7043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL529906380Medicaid
ALH815Medicare PIN
ALH819Medicare PIN
ALH817Medicare PIN
ALH814Medicare PIN
ALH820Medicare PIN
ALH816Medicare PIN