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FAGAN SPORTS MEDICINE
NPI 1770740482
Specialist in Birmingham, AL

Active since May 20, 2008
3125 INDEPENDENCE DR, SUITE 300A, BIRMINGHAM, AL 35209(205) 879-8206(205) 879-0675 Get Directions Write a Review

NPPES record last updated: January 6, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fagan Sports Medicine NPPES

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

FAGAN SPORTS MEDICINE (NPI 1770740482) is a healthcare organization registered as a specialist in Birmingham, Alabama and active in the NPI registry since May 2008. The organization lists Kimberly M Fagan, Doctor/owner, as its authorized official.

NPPES Registry Identity

NPI1770740482
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameFAGAN LLC
Location Address3125 INDEPENDENCE DR, SUITE 300ABirmingham, AL 35209-4159
Mailing Address3125 Independence Dr, Suite 300aBirmingham, AL 35209-4159 · (205) 879-8206 · Fax (205) 879-0675
Phone(205) 879-8206
Fax(205) 879-0675
Organization SubpartNo
Authorized OfficialKimberly M FaganDoctor/owner · (205) 879-8206
Enumeration DateMay 20, 2008
Last NPPES UpdateJanuary 6, 2011
✔ NPI 1770740482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AL · 14105
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 14105 (AL)
Also ListedProsthetic/Orthotic SupplierTaxonomy 335E00000X · License 14105 (AL)
3125 INDEPENDENCE DR, Birmingham, AL 35209
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Other Names 1

Doing Business AsFagan Sports Medicine

Other Identifiers 2

OtherI621AL · Medicare Group Identifier
Medicare NSC6457040001AL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JASON COOPER GRAMMER DPT
Physical Therapist
3125 INDEPENDENCE DR, SUITE 300B
BIRMINGHAM, AL 35209
Jefferson County (205) 879-7501
MS. ROBIN VANCHINA MSPT
Physical Therapist
3125 INDEPENDENCE DR, 300B
BIRMINGHAM, AL 35209
Jefferson County (205) 879-7501
KIMBERLY M FAGAN M.D.
Specialist
3125 INDEPENDENCE DR, SUITE 300A
BIRMINGHAM, AL 35209
Jefferson County (205) 879-8206
DR. ASHLEY WOLCHINA ALLISON MD
Pathology (Dermatopathology)
3125 INDEPENDENCE DR, SUITE 301
HOMEWOOD, AL 35209
Jefferson County (205) 879-2260
MR. JONATHAN E DELK MSPT
Physical Therapist
3125 INDEPENDENCE DR, 300B
BIRMINGHAM, AL 35209
Jefferson County (205) 879-7501
MS. CYNTHIA ANN MCMINN CRNP
Nurse Practitioner (Adult Health)
3125 INDEPENDENCE DR, SUITE # 108
BIRMINGHAM, AL 35209
Jefferson County (205) 868-1313
LINDSEY FROST MITCHELL D.P.T.
Physical Therapist
3125 INDEPENDENCE DR, SUITE 300B
BIRMINGHAM, AL 35209
Jefferson County (205) 879-7501
MRS. LAURA MAYHALL CHAMBLEE MSPT
Physical Therapist
3125 INDEPENDENCE DR, 300 B
BIRMINGHAM, AL 35209
Jefferson County (205) 879-7501

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 Fagan LLC's NPI number?

The NPI number for Fagan LLC is 1770740482. It was assigned to this organization in the NPPES registry on May 20, 2008. The provider is doing business as Fagan Sports Medicine.

Where is Fagan LLC located?

Fagan LLC is located at 3125 Independence Dr Suite 300A, Birmingham, AL 35209. The listed phone number is (205) 879-8206.

What is Fagan LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Fagan LLC was last updated on January 6, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.