Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fagan LLC

Organization Specialist · NPI 1770740482

Fagan LLC is a Specialist in Birmingham, Alabama. Licensed in Alabama. Registered with an NPI since 2008.

Licensed in
AL
In the registry since
2008
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3125 Independence Dr Ste 300A
Birmingham, AL 35209-4159
Phone: (205) 879-8206
Fax: (205) 879-0675
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 14105 (AL)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence 14105 (AL)
Prosthetic/Orthotic Supplier Taxonomy 335E00000X · Licence 14105 (AL)

Record details

NPI number1770740482
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Fagan — Doctor/Owner · (205) 879-8206
Other names Fagan Sports Medicine
NPI enumeratedMay 20, 2008
Last updated in NPPESJanuary 6, 2011
Mailing address3125 Independence Dr, Suite 300a, Birmingham, AL 35209-4159

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