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Birmingham Neurosurgery & Spine Group, Inc.

Details

Name: Birmingham Neurosurgery & Spine Group, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 02 Jan 1991 (34 years ago)
Entity Number: 000-140-991
Register Number: 000140991
Historical Names: Woodall Neurosurgical Group, P.C.
Birmingham Neurosurgery & Spine Group, P.C.
County: Jefferson
Place of Formation: Jefferson County
Principal Address: 3125 INDEPENDENCE DR STE 200BIRMINGHAM, AL 35209
Principal Address ZIP Code: 35209
Registered Office Street Address: 806 ST. VINCENT'S DRIVE, SUITE 450BIRMINGHAM, AL 35205
Registered Office Street Address ZIP Code: 35205
Authorized Capital: $1,000

Activities PRACTICE MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1801845243 2006-05-10 2013-10-02 3125 INDEPENDENCE DR, SUITE 200, BIRMINGHAM, AL, 352094164, US 3125 INDEPENDENCE DR, SUITE 200, BIRMINGHAM, AL, 352094164, US

Contacts
Phone +1 205-986-5200
Fax 2059865250

Authorized person
Name DR. WILLIAM CARVEL WOODALL III
Role PRESIDENT
Phone 2059865200

Taxonomy
Taxonomy Code 207T00000X - Neurological Surgery Physician
Is Primary Yes

Other Provider Identifiers
Issuer US DEPT OF LABOR
Number 374211700
Issuer MEDICAID
Number 529100210
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BIRMINGHAM NEUROSURGERY & SPINE GROUP, P. C. 401K PROFIT SHARING RETIREMENT PLAN 2019 631034033 2021-04-30 BIRMINGHAM NEUROSURGERY & SPINE GROUP, P. C. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-02
Business code 621111
Sponsor’s telephone number 2059865200
Plan sponsor’s address 806 ST. VINCENTS DRIVE, CHILDRENS CENTER SUITE 450, BIRMINGHAM, AL, 352094164

Signature of
Role Plan administrator
Date 2021-04-30
Name of individual signing JENNA CONKLIN
BIRMINGHAM NEUROSURGERY & SPINE GROUP, P. C. CASH BALANCE PENSION PLAN 2018 631034033 2020-02-03 BIRMINGHAM NEUROSURGERY & SPINE GROUP, P. C. 29
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-10-01
Business code 621111
Sponsor’s telephone number 2059865200
Plan sponsor’s address 806 ST. VINCENTS DRIVE, BIRMINGHAM, AL, 35205
BIRMINGHAM NEUROSURGERY & SPINE GROUP, P. C. 401K PROFIT SHARING RETIREMENT PLAN 2018 631034033 2020-07-15 BIRMINGHAM NEUROSURGERY & SPINE GROUP, P. C. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-02
Business code 621111
Sponsor’s telephone number 2059865200
Plan sponsor’s address 806 ST. VINCENTS DRIVE, CHILDRENS CENTER SUITE 450, BIRMINGHAM, AL, 352094164
BIRMINGHAM NEUROSURGERY & SPINE GROUP, P. C. CASH BALANCE PENSION PLAN 2017 631034033 2019-04-30 BIRMINGHAM NEUROSURGERY & SPINE GROUP, P. C. 28
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-10-01
Business code 621111
Sponsor’s telephone number 2059865200
Plan sponsor’s address 806 ST. VINCENTS DRIVE, BIRMINGHAM, AL, 35205
BIRMINGHAM NEUROSURGERY & SPINE GROUP, P. C. 401K PROFIT SHARING RETIREMENT PLAN 2017 631034033 2019-04-30 BIRMINGHAM NEUROSURGERY & SPINE GROUP, P. C. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-02
Business code 621111
Sponsor’s telephone number 2059865200
Plan sponsor’s address 806 ST. VINCENTS DRIVE, CHILDRENS CENTER SUITE 450, BIRMINGHAM, AL, 352094164
BIRMINGHAM NEUROSURGERY & SPINE GROUP, P. C. 401K PROFIT SHARING RETIREMENT PLAN 2016 631034033 2018-07-10 BIRMINGHAM NEUROSURGERY & SPINE GROUP, P. C. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-02
Business code 621111
Sponsor’s telephone number 2059865200
Plan sponsor’s address 806 ST. VINCENTS DRIVE WOMEN AND, CHILDRENS CENTER SUITE 450, BIRMINGHAM, AL, 352094164
BIRMINGHAM NEUROSURGERY & SPINE GROUP, P. C. CASH BALANCE PENSION PLAN 2016 631034033 2018-07-10 BIRMINGHAM NEUROSURGERY & SPINE GROUP, P. C. 29
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-10-01
Business code 621111
Sponsor’s telephone number 2059865200
Plan sponsor’s address 806 ST. VINCENTS DRIVE, BIRMINGHAM, AL, 35205
BIRMINGHAM NEUROSURGERY & SPINE GROUP, P. C. 401K PROFIT SHARING RETIREMENT PLAN 2015 631034033 2017-07-07 BIRMINGHAM NEUROSURGERY & SPINE GROUP, P. C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-02
Business code 621111
Sponsor’s telephone number 2059865200
Plan sponsor’s address 3125 INDEPENDENCE DRIVE, SUITE 200, BIRMINGHAM, AL, 352094164
BIRMINGHAM NEUROSURGERY & SPINE GROUP, P. C. CASH BALANCE PENSION PLAN 2015 631034033 2017-07-07 BIRMINGHAM NEUROSURGERY & SPINE GROUP, P. C. 25
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-10-01
Business code 621111
Sponsor’s telephone number 2059865200
Plan sponsor’s address 3125 INDEPENDENCE DRIVE, BIRMINGHAM, AL, 352094164
BIRMINGHAM NEUROSURGERY & SPINE GROUP, P. C. CASH BALANCE PENSION PLAN 2014 631034033 2016-07-15 BIRMINGHAM NEUROSURGERY & SPINE GROUP, P. C. 25
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-10-01
Business code 621111
Sponsor’s telephone number 2059865200
Plan sponsor’s address 3125 INDEPENDENCE DRIVE, BIRMINGHAM, AL, 352094164

Agent

Name Role Address
WOODALL, WILLIAM C III Agent 3125 INDEPENDENCE DR STE 200BIRMINGHAM, AL 35209

Director

Name Role Address
WOODALL, WILLIAM C III Director 3125 INDEPENDENCE DR STE 200BIRMINGHAM, AL 35209
BOWEN, SAMUEL R II Director 3125 INDEPENDENCE DR STE 200BIRMINGHAM, AL 35209
FULMER, BENJAMIN B Director 3125 INDEPENDENCE DR STE 200BIRMINGHAM, AL 35209

Incorporator

Name Role Address
WOODALL, WILLIAM C III Incorporator 3125 INDEPENDENCE DR STE 200BIRMINGHAM, AL 35209

Events

Event Date Event Type Old Value New Value
2017-06-29 Name Change Birmingham Neurosurgery & Spine Group, P.C. Birmingham Neurosurgery & Spine Group, Inc.
2001-04-05 Name Merged No data Alabama Craniospinal Surgery, P.C.
2001-01-09 Name Change Woodall Neurosurgical Group, P.C. Birmingham Neurosurgery & Spine Group, P.C.

Related by officers

FULMER, BENJAMIN B

Fulmer Instruments, Inc.

Related by address

3125 INDEPENDENCE DR STE 200BIRMINGHAM, AL 35209

Real Savings, Inc. 8760, Inc.

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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