| Name: | Advanced Surgeons, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 01 Aug 1983 (41 years ago) |
| Entity Number: | 000-093-482 |
| Register Number: | 000093482 |
| Historical Names: |
M. Bruce Sullivan, M.D., P.C.
Drs. Sullivan & Pennington, P.C. Montclair Surgical Associates, P.C. |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 3686 GRANDVIEW PKWY STE 400BIRMINGHAM, AL 35243 |
| Registered Office Street Address ZIP Code: | 35243 |
| Authorized Capital: | $2,000 |
Activities
MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598727711 | 2006-04-04 | 2024-05-22 | 3686 GRANDVIEW PKWY, SUITE 400, BIRMINGHAM, AL, 352433407, US | 3686 GRANDVIEW PKWY, SUITE 400, BIRMINGHAM, AL, 352433407, US | |||||||||||||||||||||
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| Phone | +1 205-595-8985 |
| Fax | 2055958987 |
Authorized person
| Name | DR. GEORGE BLAINE BISHOP JR. |
| Role | PRESIDENT |
| Phone | 2055958985 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 529101960 |
| State | AL |
| Name | Role |
|---|---|
| JOHN G. TOULIATOS | Agent |
| Name | Role |
|---|---|
| SULLIVAN, M BRUCE MD | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2004-10-29 | Name Change | Montclair Surgical Associates, P.C. | Advanced Surgeons, P.C. |
| 1989-10-31 | Name Change | Drs. Sullivan & Pennington, P.C. | Montclair Surgical Associates, P.C. |
| 1987-04-16 | Name Change | M. Bruce Sullivan, M.D., P.C. | Drs. Sullivan & Pennington, P.C. |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
