Blake    Pearson    MD
Contract Details
Norwood Clinic
Facility name
Provider ID
P000008620
NPI
1912115718
Tax ID
630715625
Effective Date
1/1/2017
Last Updated
3/30/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
513 Brookwood Blvd. BMP Suite 513
Birmingham, AL 35209
United States
County
Jefferson
Phone
2052506805 (Phone)
Billing Details
Address
P.O. Box 830230
Birmingham, AL 35283
Billing Phone
2052506846
Specialty Type
Surgery, Neurological
Map
Address