Gaylon  R  Rogers    MD
Contract Details
Brookwood Orthopedics
Facility name
Provider ID
P000001490
NPI
1437126497
Tax ID
850488403
Effective Date
7/1/2004
Last Updated
6/6/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
3105 Independence Drive Suite 105
Birmingham, AL 35209
United States
County
Jefferson
Phone
2058701498 (Phone)
Billing Details
Address
3105 Independence Drive
Suite 105
Birmingham, AL 35209
Billing Phone
2058701498
Specialty Type
Surgery, Orthopedic
Map
Address