# BW SPORTS PRACTICE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brookwood Sports and Orthopedics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720452428
- **Authorized official:** MR. WESLEY O. JAMES (REGIONAL CFO, TENET)
- **Authorized official phone:** (404) 265-5009

## Contact information

- **Practice address:** 13521 OLD HIGHWAY 280, STE. 201B, BIRMINGHAM, AL 35242-1405
- **Practice address phone:** (205) 877-2663
- **Practice address fax:** (205) 874-9622
- **Mailing address:** PO BOX 742727, ATLANTA, GA 30374-2727
- **Mailing address phone:** (205) 877-2663
- **Mailing address fax:** (205) 874-9622

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PS0010X | Sports Medicine (Emergency Medicine) Physician | — | — | Yes |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | — | — |

## Other

- **Enumeration date:** 11/18/2015
- **Last updated:** 05/26/2016