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Brookwood ENT Associates, P.C.

Details

Name: Brookwood ENT Associates, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 03 Mar 1986 (39 years ago)
Date of dissolution: 08 Sep 2021
Entity Number: 000-109-181
Register Number: 000109181
Historical Names: M. Alan Goodson, M.D., P.C.
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 2018 BROOKWOOD MEDICAL CENTER DRBIRMINGHAM, AL 35209
Registered Office Street Address ZIP Code: 35209
Authorized Capital: $5,000

Activities MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1225181795 2007-01-19 2020-08-22 2018 BROOKWOOD MEDICAL CTR DR, SUITE 205, BIRMINGHAM, AL, 352096898, US 2018 BROOKWOOD MEDICAL CTR DR, SUITE 205, BIRMINGHAM, AL, 352096898, US

Contacts

Phone +1 205-877-2827
Fax 2058772829

Authorized person

Name ALANE HUDSON
Role OFFICE MANAGER
Phone 2058772827

Taxonomy

Taxonomy Code 207Y00000X - Otolaryngology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BROOKWOOD ENT ASSOCIATES,P.C. 401(K) PROFIT SHARING RETIREMENT PLAN 2009 630922697 2010-02-10 BROOKWOOD ENT ASSOCIATES, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-03-03
Business code 621111
Sponsor’s telephone number 2058772827
Plan sponsor’s address 2018 BROOKWOOD MEDICAL CTR DR-ST205, BIRMINGHAM, AL, 35209

Plan administrator’s name and address

Administrator’s EIN 630922697
Plan administrator’s name BROOKWOOD ENT ASSOCIATES, P.C.
Plan administrator’s address 2018 BROOKWOOD MEDICAL CTR DR-ST205, BIRMINGHAM, AL, 35209
Administrator’s telephone number 2058772827

Signature of

Role Plan administrator
Date 2010-02-10
Name of individual signing GUY HANDLEY

Agent

Name Role
HANDLEY, GUY H III Agent

Incorporator

Name Role
GOODSON, M ALAN MD Incorporator

Events

Event Date Event Type Old Value New Value
1989-06-22 Name Change M. Alan Goodson, M.D., P.C. Brookwood ENT Associates, P.C.

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State