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Cornerstone Pediatrics, P.C.

Details

Name: Cornerstone Pediatrics, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 13 May 1991 (34 years ago)
Entity Number: 000-143-067
Register Number: 000143067
County: Madison
Place of Formation: Madison County
Principal Address: MADISON, AL
Registered Office Street Address: 701 WILL HALSEY WAYMADISON, AL 35758
Registered Office Street Address ZIP Code: 35758
Authorized Capital: $5,000
Paid Share Capital: ----

Activities PRACTICE OF MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1285679381 2006-06-20 2015-09-25 701 WILL HALSEY WAY, MADISON, AL, 35758, US 701 WILL HALSEY WAY, MADISON, AL, 35758, US

Contacts

Phone +1 256-461-7440
Fax 2564617168

Authorized person

Name DR. KEVIN SCOTT DENNY
Role PRESIDENT
Phone 2564617440

Taxonomy

Taxonomy Code 208000000X - Pediatrics Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CORNERSTONE PEDIATRICS RETIREMENT PLAN 2023 631044587 2024-08-13 CORNERSTONE PEDIATRICS, P.C. 35
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-07-01
Business code 621111
Sponsor’s telephone number 2564617440
Plan sponsor’s address 701 WILL HALSEY WAY, MADISON, AL, 35758

Signature of

Role Plan administrator
Date 2024-08-13
Name of individual signing DR. KEVIN SCOTT DENNY
CORNERSTONE PEDIATRICS RETIREMENT PLAN 2022 631044587 2023-10-12 CORNERSTONE PEDIATRICS, P.C. 30
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-07-01
Business code 621111
Sponsor’s telephone number 2564617440
Plan sponsor’s address 701 WILL HALSEY WAY, MADISON, AL, 35758
CORNERSTONE PEDIATRICS RETIREMENT PLAN 2021 631044587 2022-10-13 CORNERSTONE PEDIATRICS, P.C. 29
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-07-01
Business code 621111
Sponsor’s telephone number 2564617440
Plan sponsor’s address 701 WILL HALSEY WAY, MADISON, AL, 35758
CORNERSTONE PEDIATRICS RETIREMENT PLAN 2020 631044587 2021-10-13 CORNERSTONE PEDIATRICS, P.C. 28
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-07-01
Business code 621111
Sponsor’s telephone number 2564617440
Plan sponsor’s address 701 WILL HALSEY WAY, MADISON, AL, 35758
CORNERSTONE PEDIATRICS RETIREMENT PLAN 2019 631044587 2020-09-29 CORNERSTONE PEDIATRICS, P.C. 27
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-07-01
Business code 621111
Sponsor’s telephone number 2564617440
Plan sponsor’s address 701 WILL HALSEY WAY, MADISON, AL, 35758
CORNERSTONE PEDIATRICS RETIREMENT PLAN 2018 631044587 2020-09-29 CORNERSTONE PEDIATRICS, P.C. 26
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-07-01
Business code 621111
Sponsor’s telephone number 2564607440
Plan sponsor’s address 701 WILL HALSEY WAY, MADISON, AL, 35758
CORNERSTONE PEDIATRICS RETIREMENT PLAN 2018 631044587 2019-06-18 CORNERSTONE PEDIATRICS, P.C. 26
Three-digit plan number (PN) 002
Effective date of plan 2017-07-01
Business code 621111
Sponsor’s telephone number 2564607440
Plan sponsor’s address 701 WILL HALSEY WAY, MADISON, AL, 35758

Signature of

Role Plan administrator
Date 2019-06-18
Name of individual signing JEFFREY BRASSART, M.D.
CORNERSTONE PEDIATRICS RETIREMENT PLAN 2017 631044587 2018-06-08 CORNERSTONE PEDIATRICS, P.C. 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-07-01
Business code 621111
Sponsor’s telephone number 2564607440
Plan sponsor’s address 701 WILL HALSEY WAY, MADISON, AL, 35758

Signature of

Role Plan administrator
Date 2018-06-08
Name of individual signing JEFFREY BRASSART, M.D.

Incorporator

Name Role
CARTWRIGHT, JAMES DANIEL MD Incorporator
DENNY, KEVIN SCOTT MD Incorporator

Agent

Name Role
DENNY, KEVIN S Agent

Events

Event Date Event Type Old Value New Value
2006-09-07 Capital Change $1,000 Authorized ---- Paid In $5,000 Authorized ---- Paid In

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State