Provider Demographics
NPI:1700941317
Name:NEUROSURGICAL ASSOCIATES, P. C.
Entity Type:Organization
Organization Name:NEUROSURGICAL ASSOCIATES, P. C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:GARST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:2059-338-9891
Mailing Address - Street 1:800 SAINT VINCENTS DR
Mailing Address - Street 2:SUITE 700
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-1620
Mailing Address - Country:US
Mailing Address - Phone:205-933-8981
Mailing Address - Fax:
Practice Address - Street 1:800 SAINT VINCENTS DR
Practice Address - Street 2:SUITE 700
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-1620
Practice Address - Country:US
Practice Address - Phone:205-933-8981
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-26
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL15699207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL6=========OtherTAX ID
ALE82174Medicare UPIN
ALH82453Medicare UPIN
ALI31092Medicare UPIN
ALC74544Medicare UPIN
ALF50084Medicare UPIN
D802Medicare ID - Type Unspecified