Menu
Search icon

Princeton Orthopaedics, P.C.

Details

Name: Princeton Orthopaedics, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 05 Apr 2004 (21 years ago) (Companies founded in April 2004)
Date of dissolution: 16 Dec 2014
Entity Number: 000-234-650
Register Number: 000234650
ZIP code: 35211 (Companies in Jefferson, 35211)
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 817 PRINCETON AVE SW POB II STE 108BIRMINGHAM, AL 35211
Authorized Capital: $500

Activities ORTHOPAEDIC MEDICINE PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1750480323 2006-09-21 2020-08-22 817 PRINCETON AVE SW, POB II, SUITE 108, BIRMINGHAM, AL, 352111333, US 817 PRINCETON AVE SW, POB II, SUITE 108, BIRMINGHAM, AL, 352111333, US

Contacts
Phone +1 205-783-7830
Fax 2057837832

Authorized person
Name DR. THEODIS BUGGS JR.
Role PRESIDENT
Phone 2057837830

Taxonomy
Taxonomy Code 207X00000X - Orthopaedic Surgery Physician
License Number 00009766
State AK
Is Primary Yes

Other Provider Identifiers
Issuer BLUE CROSS BLUE SHIELD
Number 51521019
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PRINCETON ORTHOPAEDICS, P.C. 401K PLAN 2012 200958974 2013-05-28 PRINCETON ORTHOPAEDICS, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2057837830
Plan sponsor’s address 817 PRINCETON AVENUE SW, SUITE 108, BIRMINGHAM, AL, 352111340

Signature of
Role Plan administrator
Date 2013-05-28
Name of individual signing THEODIS BUGGS JR., M.D.
PRINCETON ORTHOPAEDICS, P.C. 401K PLAN 2011 200958974 2012-03-30 PRINCETON ORTHOPAEDICS, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2057837830
Plan sponsor’s address 817 PRINCETON AVENUE SW, SUITE 108, BIRMINGHAM, AL, 352111340

Plan administrator’s name and address
Administrator’s EIN 200958974
Plan administrator’s name PRINCETON ORTHOPAEDICS, P.C.
Plan administrator’s address 817 PRINCETON AVENUE SW, SUITE 108, BIRMINGHAM, AL, 352111340
Administrator’s telephone number 2057837830

Signature of
Role Plan administrator
Date 2012-03-22
Name of individual signing THEODIS BUGGS JR., M.D.
Role Employer/plan sponsor
Date 2012-03-22
Name of individual signing THEODIS BUGGS JR., M.D.
PRINCETON ORTHOPAEDICS, P.C. 401K PLAN 2010 200958974 2011-09-30 PRINCETON ORTHOPAEDICS, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2057837830
Plan sponsor’s address 817 PRINCETON AVENUE SW, SUITE 108, BIRMINGHAM, AL, 352111340

Plan administrator’s name and address
Administrator’s EIN 200958974
Plan administrator’s name PRINCETON ORTHOPAEDICS, P.C.
Plan administrator’s address 817 PRINCETON AVENUE SW, SUITE 108, BIRMINGHAM, AL, 352111340
Administrator’s telephone number 2057837830

Signature of
Role Plan administrator
Date 2011-09-30
Name of individual signing THEODIS BUGGS JR., M.D.
Role Employer/plan sponsor
Date 2011-09-30
Name of individual signing THEODIS BUGGS JR., M.D.
PRINCETON ORTHOPAEDICS, P.C. 401K PLAN 2009 200958974 2010-07-31 PRINCETON ORTHOPAEDICS, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2057837830
Plan sponsor’s address 817 PRINCETON AVENUE SW, SUITE 108, BIRMINGHAM, AL, 352111340

Plan administrator’s name and address
Administrator’s EIN 200958974
Plan administrator’s name PRINCETON ORTHOPAEDICS, P.C.
Plan administrator’s address 817 PRINCETON AVENUE SW, SUITE 108, BIRMINGHAM, AL, 352111340
Administrator’s telephone number 2057837830

Signature of
Role Plan administrator
Date 2010-07-30
Name of individual signing THEODIS BUGGS JR., M.D.
Role Employer/plan sponsor
Date 2010-07-30
Name of individual signing THEODIS BUGGS JR., M.D.

Agent

Name Role
BUGGS, THEODIS JR Agent

Incorporator

Name Role
BUGGS, THEODIS JR Incorporator

Related by officers

No related officers

Related by address

BIRMINGHAM, AL

A Bonding, Inc. A-1 Moving and Storage Inc. A-1 Products, Inc. A & A Ambulance Service, Incorporated A & A Ash Jewelers, Incorporated AAA Advertising Agency, Inc. AAA Appliance Parts, Inc. AAA Vinyl Auto Tops, Incorporated A & B Furniture Co., Inc. A and D Fence Co., Inc.

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2024 alabamacompanysearch.com, Part of Big Data Integrated