SOUTHLAKE ORTHOPAEDICS
NPI 1043268402
Orthopaedic Surgery in Birmingham, AL

Active since May 05, 2006
4517 SOUTHLAKE PKWY, BIRMINGHAM, AL 35244(205) 985-4111(205) 985-4326 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 10, 2022, Dec 21, 2021, Aug 19, 2021 and 4 more (7 updates tracked since 2020).

About Southlake Orthopaedics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHLAKE ORTHOPAEDICS (NPI 1043268402) is a healthcare organization registered as an orthopaedic surgery in Birmingham, Alabama and active in the NPI registry since May 2006. The organization maintains 2 additional practice locations and lists Michael Frances Blum, President, as its authorized official.

NPPES Registry Identity

NPI1043268402
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameSOUTHLAKE ORTHOPAEDICS SPORTS MEDICINE & SPINE CENTER PC
Location Address4517 SOUTHLAKE PKWYBirmingham, AL 35244-3280
Mailing Address4517 Southlake PkwyHoover, AL 35244-3280 · (205) 985-4111 · Fax (205) 985-4326
Fax(205) 985-4326
Organization SubpartNo
Authorized OfficialMichael Frances BlumPresident · (205) 985-4111
Enumeration DateMay 5, 2006
Last NPPES UpdateFebruary 10, 20227 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2022
✔ NPI 1043268402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedSpecialistTaxonomy 174400000X · License 9307 (AL)
Also ListedOrthopaedic Surgery · Hand SurgeryTaxonomy 207XS0106X
Also ListedOrthopaedic Surgery · Foot and Ankle SurgeryTaxonomy 207XX0004X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedOrthotistTaxonomy 222Z00000X
Also ListedPedorthistTaxonomy 224L00000X
Also ListedProsthetistTaxonomy 224P00000X
Also ListedOrthotic FitterTaxonomy 225000000X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
4517 SOUTHLAKE PKWY, Birmingham, AL 35244

Other Names 1

Doing Business AsSouthlake Orthopaedics

Secondary Practice Locations 2

Location 14524 Southlake Pkwy Ste 26Hoover, AL 35244-3272 · Phone (205) 329-7566 · Fax (888) 435-9974
Location 23686 Grandview Pkwy Ste 430Birmingham, AL 35243-3404 · Phone (205) 605-8180 · Fax (205) 972-8785

Other Identifiers 2

Medicaid529802230AL
OtherG715AL · Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southlake Orthopaedics is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

26

Medicare enrollment records show 26 clinicians reassign Medicare billing to Southlake Orthopaedics, which bills Medicare for the services they deliver. Of these, 25 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Orthopedic Surgery9
Occupational Therapist in Private Practice4
Physical Therapist in Private Practice4
Diagnostic Radiology2
Hand Surgery2
Physical Medicine and Rehabilitation2
Internal Medicine1
Nurse Practitioner1
1 other specialty1

Nearest to this location (20)

See all 26
Orthopedic Surgery
NPI 1518915016
4517 SOUTHLAKE PKWY SUITE 202
Birmingham, AL 35244
(205) 985-4111
✔ PECOS✔ Accepts MedicareSame address
Hand Surgery
NPI 1164470381
4517 SOUTHLAKE PKWY SUITE 202
Birmingham, AL 35244
(205) 985-4111
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1760692834
4517 SOUTHLAKE PKWY
Birmingham, AL 35244
(205) 985-4111
✔ PECOS✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1649295262
4517 SOUTHLAKE PKWY
Hoover, AL 35244
(205) 985-4111
✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1821047259
4517 SOUTHLAKE PKWY
Birmingham, AL 35244
(205) 985-4111
✔ PECOS✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1861599516
4517 SOUTHLAKE PKWY
Hoover, AL 35244
(205) 985-4111
✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1437107984
4517 SOUTHLAKE PKWY SUITE 202
Birmingham, AL 35244
(205) 985-4111
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1720441504
4517 SOUTHLAKE PKWY
Hoover, AL 35244
(205) 985-4111
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1245340108
4517 SOUTHLAKE PKWY SUITE 202
Birmingham, AL 35244
(205) 985-4111
Same address
Occupational Therapist in Private Practice
NPI 1750339115
4517 SOUTHLAKE PKWY
Hoover, AL 35244
(205) 985-4111
✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1245315308
4517 SOUTHLAKE PKWY
Hoover, AL 35244
(205) 985-4111
✔ PECOS✔ Accepts MedicareSame address
Sports Medicine
NPI 1588018477
4517 SOUTHLAKE PKWY
Hoover, AL 35244
(205) 985-4111
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1053330316
4517 SOUTHLAKE PKWY
Hoover, AL 35244
(205) 985-4111
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1619930047
4517 SOUTHLAKE PKWY
Hoover, AL 35244
(205) 985-4111
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1093900045
4517 SOUTHLAKE PKWY
Hoover, AL 35244
(205) 985-4111
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1548484249
4517 SOUTHLAKE PKWY
Hoover, AL 35244
(205) 985-4111
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1235689407
4517 SOUTHLAKE PKWY
Hoover, AL 35244
(205) 985-4111
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1861673881
4517 SOUTHLAKE PKWY
Hoover, AL 35244
(205) 985-4111
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1992432330
4517 SOUTHLAKE PKWY
Hoover, AL 35244
(205) 985-4111
✔ Accepts MedicareSame address
Hand Surgery
NPI 1396061479
4517 SOUTHLAKE PKWY
Hoover, AL 35244
(205) 985-4111
✔ PECOS✔ Accepts MedicareSame address
See all 26 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southlake Orthopaedics Sports Medicine & Spine Center PC's NPI number?

The NPI number for Southlake Orthopaedics Sports Medicine & Spine Center PC is 1043268402. It was assigned to this organization in the NPPES registry on May 5, 2006. The provider is doing business as Southlake Orthopaedics.

Where is Southlake Orthopaedics Sports Medicine & Spine Center PC located?

Southlake Orthopaedics Sports Medicine & Spine Center PC is located at 4517 Southlake Pkwy, Birmingham, AL 35244. The listed phone number is (205) 985-4111.

What is Southlake Orthopaedics Sports Medicine & Spine Center PC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Southlake Orthopaedics Sports Medicine & Spine Center PC enrolled in Medicare?

Yes. Southlake Orthopaedics Sports Medicine & Spine Center PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southlake Orthopaedics Sports Medicine & Spine Center PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 26 clinicians in 9 Medicare specialties reassign their Medicare billing to Southlake Orthopaedics Sports Medicine & Spine Center PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Orthopedic Surgery (9), Occupational Therapist in Private Practice (4) and Physical Therapist in Private Practice (4). Of these, 25 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southlake Orthopaedics Sports Medicine & Spine Center PC was last updated on February 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.