BROOKWOOD PRIMARY CARE- GRAND RIVER, LLC – NPI #1053794354
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

BROOKWOOD PRIMARY CARE- GRAND RIVER, LLC is a provider located in LEEDS, AL. NPPES has assigned the NPI number 1053794354 to BROOKWOOD PRIMARY CARE- GRAND RIVER, LLC on July 06, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BROOKWOOD PRIMARY CARE- GRAND RIVER, LLC” is a dba name, the actual legal business name for this organization is BROOKWOOD PRIMARY CARE- GRAND RIVER, L.L.C.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 10 years ago on May 26, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BROOKWOOD PRIMARY CARE- GRAND RIVER, LLC below.

NPI Profile for
BROOKWOOD PRIMARY CARE- GRAND RIVER, L.L.C.

NPI Number
1053794354
Enumeration Date

(about 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BROOKWOOD PRIMARY CARE- GRAND RIVER, L.L.C.
Doing Business As (dba): BROOKWOOD PRIMARY CARE- GRAND RIVER, LLC
Primary location
1115 PAYTON WAY.
SUITE 111
LEEDS, AL 35094
Phone: (205) 352-1175 Fax:
Mailing address
4902 VALLEYDALE RD
BIRMINGHAM, AL 35242-4613
Phone: (205) 980-8099 Fax: (205) 980-2606
Organization Subpart
No
Authorized Official
MICHAEL BURTNETT
SVP, OUTPATIENT SERVICES, TENET
Phone: (469) 893-2902
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
207QS0010X
- Family Medicine / Sports Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.