Organization · NPI-2

Brookwood Dermatology, PC

Dermatology, MOHS-Micrographic Surgery · Birmingham, AL

NPI number1487663266

StatusActive

Last updated in NPPESJun 24, 2025

Details

NPI: 1487663266
Entity type: Organization (NPI-2)
Legal business name: Brookwood Dermatology, PC
Organization subpart: No
Enumeration date: Aug 7, 2006
Certification date: Jun 24, 2025
Last updated: Jun 24, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207ND0101X	Dermatology, MOHS-Micrographic Surgery	–	–	Yes
207N00000X	Dermatology	–	–
207NS0135X	Dermatology, Procedural Dermatology	–	–

Practice location

521 Montgomery Hwy
Suite 117
Birmingham, AL 35216-1878

Phone 205-824-4441 · Fax 205-822-3978

Mailing address

521 Montgomery Hwy
Suite 117
Birmingham, AL 35216-1878

Phone 205-824-4441 · Fax 205-822-3978

Authorized official

Donald W Walters
Owner
2058244441

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