Organization
FAGAN LLC
Active
Other names
Fagan Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY M FAGAN M.D. (DOCTOR/OWNER)
(205) 879-8206
Entity
Organization
Contact information
Practice address
3125 INDEPENDENCE DR, SUITE 300A, BIRMINGHAM, AL 35209-4159
(205) 879-8206
(205) 879-0675
Mailing address
3125 INDEPENDENCE DR, SUITE 300A, BIRMINGHAM, AL 35209-4159
(205) 879-8206
(205) 879-0675
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14105
AL
332B00000X
Durable Medical Equipment & Medical Supplies
14105
AL
335E00000X
Prosthetic/Orthotic Supplier
14105
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I621
MEDICARE GROUP IDENTIFIER
AL
Enumeration date
05/20/2008
Last updated
01/06/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us