NPI 1720452428 · live from the CMS NPI Registry
Bw Sports Practice, LLC
Emergency Medicine, Sports Medicine in Birmingham, AL. National Provider Identifier 1720452428, active.
NPI record
| NPI | 1720452428 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Emergency Medicine, Sports Medicine 207PS0010X |
| Practice location | 13521 Old Highway 280, Ste. 201b, Birmingham, AL 35242 |
| Practice phone | 205-877-2663 |
| Mailing address | Po Box 742727, Atlanta, GA 30374 |
| Enumerated | November 18, 2015 |
| Last updated | May 26, 2016 |
| Authorized official | Wesley James, Regional Cfo, Tenet |
| Other names | Brookwood Sports And Orthopedics |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery, Sports Medicine | 207XX0005X | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Emergency Medicine, Sports Medicine primary | 207PS0010X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.