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

Psychiatry 280, PC

Organization Psychiatry Physician · NPI 1528456779

Psychiatry 280, PC is a Psychiatry Physician in Birmingham, Alabama. Licensed in Alabama. Registered with an NPI since 2014.

Licensed in
AL
In the registry since
2014
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2803 Greystone Commercial Blvd Ste 12
Birmingham, AL 35242-9603
Phone: (205) 968-1227
Fax: (205) 968-1229
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence MD32834 (AL)

Record details

NPI number1528456779
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Polek — Owner · (256) 499-1629
Other names Polekmd
NPI enumeratedDecember 22, 2014
Last updated in NPPESOctober 2, 2023
Certification dateOctober 2, 2023
Mailing address3840 Reddick Rd, Palmyra, TN 37142-2141

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