Bruce  W  Romeo    MD
Contract Details
Alabama Comp
Facility name
Provider ID
P000001493
NPI
1992717870
Tax ID
631287657
Effective Date
1/1/2002
Last Updated
3/13/2017
Direct Contract
Yes
Term Date
12/21/2015
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
2018 Brookwood Medical Center Drive Suite G-2
Birmingham, AL 35209
United States
County
Jefferson
Phone
2058772667 (Phone)
Billing Details
Address
2018 Brookwood Medical Center Drive
Suite G-2
Birmingham, AL 35209
Billing Phone
2058772667
Specialty Type
Internal Medicine
Map
Address