| Birmingham Pain Center Inc. | |
|
4515 Southlake Pkwy Ste 200 Hoover AL 35244-3319 | |
| (205) 313-7246 | |
| (205) 939-1911 |
| Full Name | Birmingham Pain Center Inc. |
|---|---|
| Speciality | Pain Medicine |
| Location | 4515 Southlake Pkwy Ste 200, Hoover, Alabama |
| Authorized Official Name and Position | Lucy Gibson (ADMINISTRATOR) |
| Authorized Official Contact | 2053137252 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Birmingham Pain Center Inc. 4515 Southlake Pkwy Ste 200 Hoover AL 35244-3319 Ph: (205) 313-7246 | Birmingham Pain Center Inc. 4515 Southlake Pkwy Ste 200 Hoover AL 35244-3319 Ph: (205) 313-7246 |
| NPI Number | 1710038476 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 10/24/2023 |
| Certification Date | 10/24/2023 |
| Medicare PECOS PAC ID | 3678522521 |
|---|---|
| Medicare Enrollment ID | O20050118000525 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710038476 | NPI | - | NPPES |
| Provider Name | Pamela D Miller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851304190 PECOS PAC ID: 5395732994 Enrollment ID: I20040427000497 |
| Provider Name | Jay R Heisler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992856793 PECOS PAC ID: 7214945682 Enrollment ID: I20060327000335 |
| Provider Name | Kristi M Kimberly |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245346444 PECOS PAC ID: 3173527611 Enrollment ID: I20060914000193 |
| Provider Name | Michael G Gibson |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1013068881 PECOS PAC ID: 1759330608 Enrollment ID: I20080409000443 |
| Provider Name | Roberto Daniel Chang |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1669608923 PECOS PAC ID: 5991921389 Enrollment ID: I20140721000928 |
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