Robert  L  Lansden    MD
Contract Details
Pain Management Services--Brookwood Medical Center
Facility name
Provider ID
P000000964
NPI
1770561144
Tax ID
721378440
Effective Date
6/15/1999
Last Updated
6/29/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
513 Brookwood Boulevard Suite 101
Birmingham, AL 35209
United States
County
Jefferson
Phone
2058026565 (Phone)
Billing Details
Address
513 Brookwood Boulevard
Suite 101
Birmingham, AL 35209
Billing Phone
2058026565
Specialty Type
Pain Management
Map
Address