Contract Details
Facility name
Birmingham Neurosurgery & Spine Group, PC
Provider ID
P000007171
NPI
1801845243
Tax ID
631034033
Effective Date
9/15/2007
Last Updated
5/21/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
7191 Cahaba Valley Road Suite 206
Birmingham, AL 35242
United States
County
Shelby
Phone
2059865200 (Phone)
Billing Details
Address
3125 Independence Drive
Suite 200
Birmingham, AL 35209
Billing Phone
2059865200
Specialty Type
Surgery, Neurological
Map
Address