| Bw Physician Practices, Llc | |
|
513 Brookwood Blvd Ste 260 Birmingham AL 35209-7844 | |
| (205) 802-6595 | |
| (205) 802-6598 |
| Full Name | Bw Physician Practices, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 513 Brookwood Blvd Ste 260, Birmingham, Alabama |
| Authorized Official Name and Position | Brian Rasmus (VP, CFO TPR TENET) |
| Authorized Official Contact | 4698932532 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bw Physician Practices, Llc Po Box 11407 Birmingham AL 35246-0100 Ph: (205) 980-8099 | Bw Physician Practices, Llc 513 Brookwood Blvd Ste 260 Birmingham AL 35209-7844 Ph: (205) 802-6595 |
| NPI Number | 1457724346 |
|---|---|
| Provider Enumeration Date | 11/02/2015 |
| Last Update Date | 05/30/2023 |
| Medicare PECOS PAC ID | 1658680285 |
|---|---|
| Medicare Enrollment ID | O20151022001470 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457724346 | NPI | - | NPPES |
| Provider Name | Antonio R Gonzalez Ruiz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326044231 PECOS PAC ID: 9032271598 Enrollment ID: I20081218000123 |
| Provider Name | Ginger Cole Sexton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124369566 PECOS PAC ID: 0446497879 Enrollment ID: I20130502000334 |
| Provider Name | Michael Mueller |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1366572562 PECOS PAC ID: 5193944130 Enrollment ID: I20140924000417 |
| Provider Name | Brian Emanuel Brocato |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538385703 PECOS PAC ID: 7911143904 Enrollment ID: I20140929001928 |
| Provider Name | Leslie Gaylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558736322 PECOS PAC ID: 5294037677 Enrollment ID: I20151230002658 |
| Provider Name | Jeffrey Lee Love |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1083662431 PECOS PAC ID: 6305730300 Enrollment ID: I20200211002925 |
| Provider Name | Emily Bray Eason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235690983 PECOS PAC ID: 7315359304 Enrollment ID: I20201216001091 |
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