| Ross Bridge Medical Practice LLC | |
|
3635 Market St Ste A Birmingham AL 35226-6391 | |
| (205) 494-7677 | |
| Not Available |
| Full Name | Ross Bridge Medical Practice LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 3635 Market St Ste A, Birmingham, Alabama |
| Authorized Official Name and Position | Madhav Devani (MEDICAL DOCTOR) |
| Authorized Official Contact | 2054947677 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ross Bridge Medical Practice LLC 3635 Market St Ste A Hoover AL 35226-6391 Ph: (205) 494-7677 | Ross Bridge Medical Practice LLC 3635 Market St Ste A Birmingham AL 35226-6391 Ph: (205) 494-7677 |
| NPI Number | 1295207520 |
|---|---|
| Provider Enumeration Date | 12/27/2018 |
| Last Update Date | 06/06/2025 |
| Certification Date | 06/06/2025 |
| Medicare PECOS PAC ID | 4587995568 |
|---|---|
| Medicare Enrollment ID | O20191004001512 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295207520 | NPI | - | NPPES |
| Provider Name | Archana Balasubramanya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912197443 PECOS PAC ID: 3476647033 Enrollment ID: I20111028000679 |
| Provider Name | Madhav V Devani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538489190 PECOS PAC ID: 0446493795 Enrollment ID: I20130905000501 |
| Provider Name | Manci Balas Hoesley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477522175 PECOS PAC ID: 2961831011 Enrollment ID: I20200411000030 |
| Provider Name | Sua Pun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649887571 PECOS PAC ID: 8527567551 Enrollment ID: I20250818001599 |
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