Provider Demographics
NPI:1588854772
Name:ALABAMA DIGESTIVE HEALTH ENDOSCOPY CENTER, LLC
Entity type:Organization
Organization Name:ALABAMA DIGESTIVE HEALTH ENDOSCOPY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOCKERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-285-7500
Mailing Address - Street 1:513 BROOKWOOD BLVD
Mailing Address - Street 2:BUILDING D STE 400
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-6804
Mailing Address - Country:US
Mailing Address - Phone:205-523-4342
Mailing Address - Fax:205-545-4523
Practice Address - Street 1:513 BROOKWOOD BLVD
Practice Address - Street 2:BUILDING D STE 400
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-6804
Practice Address - Country:US
Practice Address - Phone:205-523-4342
Practice Address - Fax:205-545-4523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-25
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALU3710261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL011072OtherBLUE CROSS BLUE SHIELD
AL011072OtherBLUE CROSS BLUE SHIELD