# BIRMINGHAM ADDICTION MEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124328745
- **Authorized official:** DR. TIMOTHY A GOODEN M.D. (OWNER/PHYSICIAN)
- **Authorized official phone:** (205) 535-3140

## Contact information

- **Practice address:** 2010 BROOKWOOD MEDICAL CTR DR, BIRMINGHAM, AL 35209-6804
- **Practice address phone:** (205) 535-3140
- **Practice address fax:** (205) 535-3141
- **Mailing address:** PO BOX 1118, TRUSSVILLE, AL 35173-6100
- **Mailing address phone:** (205) 535-3140
- **Mailing address fax:** (205) 535-3141

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | 27029 | AL | Yes |
| 208000000X | Pediatrics Physician | 27029 | AL | — |

## Other

- **Enumeration date:** 10/29/2010
- **Last updated:** 10/29/2010