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Greg E. Eudy, MD, PC

Details

Name: Greg E. Eudy, MD, PC
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 28 Apr 2004 (21 years ago)
Entity Number: 000-235-004
Register Number: 000235004
County: Jefferson
Place of Formation: Jefferson County
Principal Address: HOOVER, AL
Registered Office Street Address: 3000 RIVERCHASE GALLERIA STE 950HOOVER, AL 35244
Registered Office Street Address ZIP Code: 35244
Authorized Capital: $1,000
Paid Share Capital: $1,000

Activities MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1902942717 2007-01-29 2020-08-22 2022 BROOKWOOD MEDICAL CTR DR, BIRMINGHAM, AL, 352096808, US 2022 BROOKWOOD MEDICAL CTR DR, BIRMINGHAM, AL, 352096808, US

Contacts

Phone +1 205-877-2955
Fax 2058772969

Authorized person

Name DR. GREG E EUDY
Role MD
Phone 2058772955

Taxonomy

Taxonomy Code 207RR0500X - Rheumatology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GREG E. EUDY, MD PC 401(K) PLAN 2023 201093508 2024-09-25 GREG E. EUDY, MD PC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2052630093
Plan sponsor’s address 2022 BROOKWOOD MEDICAL CENTER DRIVE, STE 211, BIRMINGHAM, AL, 35209

Signature of

Role Plan administrator
Date 2024-09-25
Name of individual signing GREG E. EUDY, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-25
Name of individual signing GREG E. EUDY, MD
Valid signature Filed with authorized/valid electronic signature
GREG E. EUDY, MD PC 401(K) PLAN 2022 201093508 2023-10-05 GREG E. EUDY, MD PC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2052630093
Plan sponsor’s address 2022 BROOKWOOD MEDICAL CENTER DRIVE, STE 211, BIRMINGHAM, AL, 35209

Signature of

Role Plan administrator
Date 2023-10-05
Name of individual signing GREG E. EUDY, MD
Role Employer/plan sponsor
Date 2023-10-05
Name of individual signing GREG E. EUDY, MD
GREG E. EUDY, MD PC 401(K) PLAN 2021 201093508 2022-10-14 GREG E. EUDY, MD PC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2052630093
Plan sponsor’s address 2022 BROOKWOOD MEDICAL CENTER DRIVE, STE 211, BIRMINGHAM, AL, 35209

Signature of

Role Plan administrator
Date 2022-10-14
Name of individual signing GREG E. EUDY, MD
Role Employer/plan sponsor
Date 2022-10-14
Name of individual signing GREG E. EUDY, MD
GREG E. EUDY, MD PC 401(K) PLAN 2020 201093508 2021-10-09 GREG E. EUDY, MD PC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2052630093
Plan sponsor’s address 2022 BROOKWOOD MEDICAL CENTER DRIVE, STE 211, BIRMINGHAM, AL, 35209

Signature of

Role Plan administrator
Date 2021-10-09
Name of individual signing GREG E. EUDY, MD
Role Employer/plan sponsor
Date 2021-10-09
Name of individual signing GREG E. EUDY, MD
GREG E. EUDY, MD PC 401(K) PLAN 2019 201093508 2020-05-07 GREG E. EUDY, MD PC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2052630093
Plan sponsor’s address 2022 BROOKWOOD MEDICAL CENTER DRIVE, STE 211, BIRMINGHAM, AL, 35209

Signature of

Role Plan administrator
Date 2020-05-07
Name of individual signing GREG E. EUDY, MD
Role Employer/plan sponsor
Date 2020-05-07
Name of individual signing GREG E. EUDY, MD
GREG E. EUDY, MD PC 401(K) PLAN 2018 201093508 2019-09-28 GREG E. EUDY, MD PC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2052630093
Plan sponsor’s address 2022 BROOKWOOD MEDICAL CENTER DRIVE, STE 211, BIRMINGHAM, AL, 35209

Signature of

Role Plan administrator
Date 2019-09-28
Name of individual signing GREG E. EUDY, MD
Role Employer/plan sponsor
Date 2019-09-28
Name of individual signing GREG E. EUDY, MD
GREG E. EUDY, MD PC 401(K) PLAN 2017 201093508 2018-10-13 GREG E. EUDY, MD PC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2052630093
Plan sponsor’s address 2022 BROOKWOOD MEDICAL CENTER DRIVE, STE 211, BIRMINGHAM, AL, 35209

Signature of

Role Plan administrator
Date 2018-10-13
Name of individual signing GREG E. EUDY, MD
Role Employer/plan sponsor
Date 2018-10-13
Name of individual signing GREG E. EUDY, MD
GREG E. EUDY, MD PC 401(K) PLAN 2016 201093508 2017-10-11 GREG E. EUDY, MD PC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2052630093
Plan sponsor’s address 2022 BROOKWOOD MEDICAL CENTER DRIVE, STE 211, BIRMINGHAM, AL, 35209

Signature of

Role Plan administrator
Date 2017-10-11
Name of individual signing GREG E. EUDY, MD
Role Employer/plan sponsor
Date 2017-10-11
Name of individual signing GREG E. EUDY, MD
GREG E. EUDY, MD PC 401(K) PLAN 2015 201093508 2016-07-28 GREG E. EUDY, MD PC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2052630093
Plan sponsor’s address 2022 BROOKWOOD MEDICAL CENTER DRIVE, STE 211, BIRMINGHAM, AL, 35209

Signature of

Role Plan administrator
Date 2016-07-28
Name of individual signing GREG E. EUDY, MD
Role Employer/plan sponsor
Date 2016-07-28
Name of individual signing GREG E. EUDY, MD
GREG E. EUDY, MD PC 401(K) PLAN 2014 201093508 2015-10-07 GREG E. EUDY, MD PC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2058772955
Plan sponsor’s address 2022 BROOKWOOD MEDICAL CENTER DRIVE, STE 211, BIRMINGHAM, AL, 35209

Signature of

Role Plan administrator
Date 2015-10-07
Name of individual signing GREG E. EUDY, MD, PC
Role Employer/plan sponsor
Date 2015-10-07
Name of individual signing GREG E. EUDY, MD, PC

Agent

Name Role
SPARKS, CHARLES L Agent

Incorporator

Name Role
EUDY, GREG E Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State