| Brookwood Internists PC | |
|
513 Brookwood Blvd Suite 50 Birmingham AL 35209-6862 | |
| (205) 877-2761 | |
| (205) 877-2399 |
| Full Name | Brookwood Internists PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 513 Brookwood Blvd, Birmingham, Alabama |
| Authorized Official Name and Position | Cheryl D Keith (ADMINISTRATOR) |
| Authorized Official Contact | 2054780091 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookwood Internists PC 513 Brookwood Blvd Suite 50 Birmingham AL 35209-6862 Ph: (205) 877-2761 | Brookwood Internists PC 513 Brookwood Blvd Suite 50 Birmingham AL 35209-6862 Ph: (205) 877-2761 |
| NPI Number | 1316056328 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 02/06/2023 |
| Certification Date | 02/06/2023 |
| Medicare PECOS PAC ID | 6406875418 |
|---|---|
| Medicare Enrollment ID | O20051118000756 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316056328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | David K Williamson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164447389 PECOS PAC ID: 8628042058 Enrollment ID: I20050113000664 |
| Provider Name | Ladonna P Richardson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699884676 PECOS PAC ID: 8123034204 Enrollment ID: I20060227000558 |
| Provider Name | Joshua D Ivker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639118409 PECOS PAC ID: 9537163027 Enrollment ID: I20060915000027 |
| Provider Name | Andrea R White |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831303205 PECOS PAC ID: 1951493949 Enrollment ID: I20070822000917 |
| Provider Name | Todd K Schultz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679682678 PECOS PAC ID: 1052327137 Enrollment ID: I20100902000168 |
| Provider Name | Robert M Frederickson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306955497 PECOS PAC ID: 7618983792 Enrollment ID: I20100902000837 |
| Provider Name | Charles C Boackle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104935287 PECOS PAC ID: 1355357435 Enrollment ID: I20100902000867 |
| Provider Name | David J Kimbrell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447369582 PECOS PAC ID: 3971519059 Enrollment ID: I20100903000806 |
| Provider Name | Larry F Gazzini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598874620 PECOS PAC ID: 1254347339 Enrollment ID: I20100903000844 |
| Provider Name | Roxanne Renee Travelute |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174683452 PECOS PAC ID: 7810181914 Enrollment ID: I20101103000108 |
| Provider Name | David J Riddle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215102660 PECOS PAC ID: 3173673472 Enrollment ID: I20121211000128 |
| Provider Name | Amanda Claire Bowden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194221457 PECOS PAC ID: 0042569543 Enrollment ID: I20211202002512 |
| Provider Name | Jesse N Hilton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467016121 PECOS PAC ID: 3577928878 Enrollment ID: I20230420000074 |
| Provider Name | Sonja Tweeten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841829702 PECOS PAC ID: 9234667379 Enrollment ID: I20250116002723 |
| Provider Name | Elaine Marie Simon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710629522 PECOS PAC ID: 0143728964 Enrollment ID: I20250812000000 |
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