Organization
BIRMINGHAM SURGICAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN DEREK LASKER MBA (ADMINISTRATOR)
(205) 877-2910
Entity
Organization
Contact information
Practice address
2022 BROOKWOOD MEDICAL CTR DR, SUITE 313 ACC, BIRMINGHAM, AL 35209-6808
(205) 877-2910
(205) 879-4649
Mailing address
2022 BROOKWOOD MEDICAL CTR DR, SUITE 313 ACC, BIRMINGHAM, AL 35209-6808
(205) 877-2910
(205) 879-4649
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043279797
NPI
AL
01
—
1306805825
NPI
AL
01
—
1326008129
NPI
AL
01
—
1457311250
NPI
AL
01
—
1750341756
NPI
AL
01
—
1780644591
NPI
AL
01
—
1922068774
GROUP NPI
—
05
—
528500610
—
AL
01
—
C321
BROUP BILLING BLUE CROSS
AL
01
—
CM7410
GROUP RAILROAD MEDICARE
—
Enumeration date
03/24/2006
Last updated
06/21/2018
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