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

Southlake Orthopaedics Sports Medicine & Spine Center PC

Organization Specialist · NPI 1043268402

Southlake Orthopaedics Sports Medicine & Spine Center PC is a Specialist in Birmingham, Alabama. Works from 3 locations. Licensed in Alabama.

Licensed in
AL
In the registry since
2006
Specialties on file
15
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4517 Southlake Pkwy
Birmingham, AL 35244-3280
Phone: (205) 985-4111
Fax: (205) 985-4326
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3686 Grandview Pkwy Ste 430, Birmingham, AL 35243-3404 — (205) 605-8180
  • 4524 Southlake Pkwy Ste 26, Hoover, AL 35244-3272 — (205) 329-7566

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X
Specialist Taxonomy 174400000X · Licence 9307 (AL)
Orthopaedic Hand Surgery Physician Taxonomy 207XS0106X
Orthopaedic Surgery of the Spine Physician Taxonomy 207XS0117X
Orthopaedic Foot and Ankle Surgery Physician Taxonomy 207XX0004X
Sports Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081S0010X
Orthotist Taxonomy 222Z00000X
Pedorthist Taxonomy 224L00000X
Prosthetist Taxonomy 224P00000X
Orthotic Fitter Taxonomy 225000000X
Physical Therapist Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X
Magnetic Resonance Imaging Radiologic Technologist Taxonomy 2471M1202X
Physician Assistant Taxonomy 363A00000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X

Record details

NPI number1043268402
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Blum — President · (205) 985-4111
Other names Southlake Orthopaedics; Southlake Orthopaedics
NPI enumeratedMay 5, 2006
Last updated in NPPESFebruary 10, 2022
Certification dateFebruary 10, 2022
Mailing address4517 Southlake Pkwy, Hoover, AL 35244-3280

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