| Name: | Brookwood Internists, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 26 Jan 2001 (24 years ago) |
| Entity Number: | 000-214-463 |
| Register Number: | 000214463 |
| ZIP code: | 35209 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 513 BROOKWOOD BLVD STE 50BIRMINGHAM, AL 35209 |
| Authorized Capital: | $5,000 |
Activities
PRACTICE OF MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316056328 | 2006-08-30 | 2023-02-06 | 513 BROOKWOOD BLVD, SUITE 50, BIRMINGHAM, AL, 352096862, US | 513 BROOKWOOD BLVD, SUITE 50, BIRMINGHAM, AL, 352096862, US | |||||||||||||||
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| Phone | +1 205-877-2761 |
| Fax | 2058772399 |
Authorized person
| Name | MS. CHERYL D KEITH |
| Role | ADMINISTRATOR |
| Phone | 2054780091 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| SCHULTZ, TODD K | Agent |
| Name | Role | Address |
|---|---|---|
| LEVY, JACK B | Incorporator | 1819 FIFTH AVENUE NBIRMINGHAM, AL 35203 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3899087204 | 2020-04-27 | 0459 | PPP | 513 Brookwood Blvd, Suite 50, BIRMINGHAM, AL, 35209-7802 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
