# BIRMINGHAM VASCULAR ASSOCIATES, PC

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

## Provider details

- **NPI number:** 1306978507
- **Authorized official:** ROBERT WILLIAM HEIDEPRIEM, III MD (OWNER)
- **Authorized official phone:** (205) 423-2495

## Contact information

- **Practice address:** 2018 BROOKWOOD MEDICAL CTR DR, SUITE 214, BIRMINGHAM, AL 35209-6898
- **Practice address phone:** (205) 423-2495
- **Practice address fax:** (205) 423-2498
- **Mailing address:** 2018 BROOKWOOD MEDICAL CTR DR, SUITE 214, BIRMINGHAM, AL 35209-6898
- **Mailing address phone:** (205) 423-2495
- **Mailing address fax:** (205) 423-2498

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 23846 | AL | Yes |

## Other

- **Enumeration date:** 03/12/2007
- **Last updated:** 01/15/2014