Kenneth  W  Bramlett    MD
Contract Details
Brookwood Sports and Orthopedics
Facility name
Provider ID
P000000190
NPI
1164449518
Tax ID
901011941
Effective Date
2/9/2015
Last Updated
3/24/2015
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
200 Montgomery Highway Suite 200
Birmingham, AL 35216
United States
County
Jefferson
Phone
2058772663 (Phone)
Billing Details
Address
200 Montgomery Highway
Suite 200
Birmingham, AL 35216
Billing Phone
2058772663
Specialty Type
Sports Medicine
Map
Address