| Brookwood Primary Care- Grand River, Llc | |
|
1115 Payton Way. Suite 111 Leeds AL 35094 | |
| (205) 352-1175 | |
| Not Available |
| Full Name | Brookwood Primary Care- Grand River, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1115 Payton Way., Leeds, Alabama |
| Authorized Official Name and Position | Michael Kyle Burtnett (SVP, OUTPATIENT SERVICES, TENET) |
| Authorized Official Contact | 4698932902 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookwood Primary Care- Grand River, Llc 4902 Valleydale Rd Birmingham AL 35242-4613 Ph: (205) 980-8099 | Brookwood Primary Care- Grand River, Llc 1115 Payton Way. Suite 111 Leeds AL 35094 Ph: (205) 352-1175 |
| NPI Number | 1053794354 |
|---|---|
| Provider Enumeration Date | 07/06/2015 |
| Last Update Date | 05/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053794354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Secondary |
Bhc - Leeds Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7530 Parkway Dr, Leeds, AL 35094 Phone: 205-699-2541 Fax: 205-699-2548 | |
Fast Pace Medical Clinic Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1455 Ashville Rd, Leeds, AL 35094 Phone: 205-596-1180 |