Jaime    Bitran    MD
Contract Details
Birmingham Surgical
Facility name
Provider ID
P000000141
NPI
1780644591
Tax ID
630677675
Effective Date
12/15/2006
Last Updated
3/26/2014
Direct Contract
Yes
Term Date
4/17/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
150 Gilbreath Drive
Oneonta, AL 35121
United States
County
Blount
Phone
2052743344 (Phone)
Billing Details
Address
2022 Brookwood Medical Center Drive
Suite 313
Birmingham, AL 35209
Billing Phone
2058772910
Specialty Type
Surgery, General
Map
Address