Provider Demographics
NPI:1134255417
Name:ALABAMA NEUROSURGEONS PC
Entity type:Organization
Organization Name:ALABAMA NEUROSURGEONS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:STANER
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:205-991-4400
Mailing Address - Street 1:7500 HUGH DANIEL DRIVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242
Mailing Address - Country:US
Mailing Address - Phone:205-991-4400
Mailing Address - Fax:205-991-8287
Practice Address - Street 1:7500 HUGH DANIEL DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242
Practice Address - Country:US
Practice Address - Phone:205-991-4400
Practice Address - Fax:205-991-8287
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2011-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00008633207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL81807OtherBCBS OF AL
AL6383250001Medicare NSC
C74586Medicare UPIN
AL81807OtherBCBS OF AL