Provider Demographics
NPI:1528782232
Name:ALABAMA NEUROLOGICAL SURGERY & SPINE PC
Entity type:Organization
Organization Name:ALABAMA NEUROLOGICAL SURGERY & SPINE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:BLAKE
Authorized Official - Middle Name:ELIOTT
Authorized Official - Last Name:PEARSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-213-5381
Mailing Address - Street 1:3535 GRANDVIEW PKWY STE 150
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35243-2027
Mailing Address - Country:US
Mailing Address - Phone:205-250-6805
Mailing Address - Fax:
Practice Address - Street 1:3535 GRANDVIEW PKWY STE 150
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35243-2027
Practice Address - Country:US
Practice Address - Phone:205-250-6805
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-27
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty