VASCULAR ASSOCIATES OF BIRMINGHAM, PC

Provider Demographics

• NPI: 1841244886
• Name: VASCULAR ASSOCIATES OF BIRMINGHAM, PC
• Entity Type: Organization
• Organization Name: VASCULAR ASSOCIATES OF BIRMINGHAM, PC
• Other - Org Name: MICHAEL A DRUMMOND, MD, PC
• Other - Org Type: Former Legal Business Name
• Authorized Official - Title/Position: PRESIDENT/PHYSICIAN
• Authorized Official - Prefix: DR
• Authorized Official - First Name: ROBERT
• Authorized Official - Middle Name: SCOTT
• Authorized Official - Last Name: MCCORD
• Authorized Official - Credentials: MD
• Authorized Official - Phone: 205-783-0160
• Mailing Address - Street 1: 817 PRINCETON AVE SW
• Mailing Address - Street 2: SUITE 306
• Mailing Address - City: BIRMINGHAM
• Mailing Address - State: AL
• Mailing Address - Zip Code: 35211-1333
• Mailing Address - Country: US
• Mailing Address - Phone: 205-783-0160
• Mailing Address - Fax: 205-788-6249
• Practice Address - Street 1: 817 PRINCETON AVE SW
• Practice Address - Street 2: SUITE 306
• Practice Address - City: BIRMINGHAM
• Practice Address - State: AL
• Practice Address - Zip Code: 35211-1333
• Practice Address - Country: US
• Practice Address - Phone: 205-783-0160
• Practice Address - Fax: 205-788-6249
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-05-22
• Last Update Date: 2024-03-04

Provider Licenses

State	License ID	Taxonomies
AL	00013686	2086S0129X
AL	00019081	2086S0129X
AL	00021035	2086S0129X
AL	00023846	2086S0129X
AL	TA-1645	363AS0400X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	2086S0129X	Allopathic & Osteopathic Physicians	Surgery	Vascular Surgery	Group - Single Specialty
No	363AS0400X	Physician Assistants & Advanced Practice Nursing Providers	Physician Assistant	Surgical	Group - Single Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
AL	000024104	Medicaid
AL	00089937	Medicaid
AL	009932034	Medicaid
AL	051512731	Medicaid
AL	51512731	Medicare PIN
AL	000089937	Medicare PIN
AL	H85594	Medicare UPIN
AL	051512731	Medicaid
AL	E45266	Medicare UPIN
AL	000024104	Medicaid
AL	G05553	Medicare UPIN
AL	00089937	Medicaid