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Eli L. Brown, M.D., P.C.

Details

Name: Eli L. Brown, M.D., P.C.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 20 Jul 2005 (19 years ago) (Companies founded in July 2005)
Entity Number: 000-242-624
Register Number: 000242624
Historical Names: ECAE, Inc.
ZIP code: 35205 (Companies in Jefferson, 35205)
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 2311 HIGHLAND AVE SOUTH STE 500BIRMINGHAM, AL 35205
Authorized Capital: $1,000

Activities ANY LAWFUL ACTIVITY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1376607606 2006-12-21 2012-09-19 2006 BROOKWOOD MEDICAL CENTER DRIVE, SUITE 210, BIRMINGHAM, AL, 352096870, US 2006 BROOKWOOD MEDICAL CTR DR, WOMEN'S MEDICAL PLAZA SUITE 210, BIRMINGHAM, AL, 352096899, US

Contacts
Phone +1 205-877-2966
Fax 2058772852

Authorized person
Name MRS. DANIELLE CATRICE WILLIAMS
Role BUSINESS MANAGER
Phone 2058772966

Taxonomy
Taxonomy Code 207V00000X - Obstetrics & Gynecology Physician
License Number 17226
State AL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 529926100
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ELI L. BROWN, M.D., P.C. 401(K) PROFIT SHARING PLAN 2023 203171855 2024-10-07 ELI L. BROWN, M.D., P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2058772966
Plan sponsor’s address 2006 BROOKWOOD MEDICAL CENTER DRIVE, SUITE 210, BIRMINGHAM, AL, 352096823
ELI L. BROWN, M.D., P.C. 401(K) PROFIT SHARING PLAN 2022 203171855 2023-10-09 ELI L. BROWN, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2058772966
Plan sponsor’s address 2006 BROOKWOOD MEDICAL CENTER DRIVE, SUITE 210, BIRMINGHAM, AL, 352096823
ELI L. BROWN, M.D., P.C. 401(K) PROFIT SHARING PLAN 2021 203171855 2022-10-07 ELI L. BROWN, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2058772966
Plan sponsor’s address 2006 BROOKWOOD MEDICAL CENTER DRIVE, SUITE 210, BIRMINGHAM, AL, 352096823
ELI L. BROWN, M.D., P.C. 401(K) PROFIT SHARING PLAN 2020 203171855 2021-10-13 ELI L. BROWN, M.D., P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2058772966
Plan sponsor’s address 2006 BROOKWOOD MEDICAL CENTER DRIVE, SUITE 210, BIRMINGHAM, AL, 352096823
ELI L. BROWN, M.D., P.C. 401(K) PROFIT SHARING PLAN 2019 203171855 2020-10-09 ELI L. BROWN, M.D., P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2058772966
Plan sponsor’s address 2006 BROOKWOOD MEDICAL CENTER DRIVE, SUITE 210, BIRMINGHAM, AL, 352096823
ELI L. BROWN, M.D., P.C. 401(K) PROFIT SHARING PLAN 2018 203171855 2019-10-08 ELI L. BROWN, M.D., P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2058772966
Plan sponsor’s address 2006 BROOKWOOD MEDICAL CENTER DRIVE, SUITE 210, BIRMINGHAM, AL, 352096823
ELI L. BROWN, M.D., P.C. 401(K) PROFIT SHARING PLAN 2017 203171855 2018-10-11 ELI L. BROWN, M.D., P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2058772966
Plan sponsor’s address 2006 BROOKWOOD MEDICAL CENTER DRIVE, SUITE 210, BIRMINGHAM, AL, 352096823

Signature of
Role Plan administrator
Date 2018-10-11
Name of individual signing ELI L. BROWN, M.D.
Role Employer/plan sponsor
Date 2018-10-11
Name of individual signing ELI L. BROWN, M.D.
ELI L. BROWN, M.D., P.C. 401(K) PROFIT SHARING PLAN 2016 203171855 2017-10-09 ELI L. BROWN, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2058772966
Plan sponsor’s address 2006 BROOKWOOD MEDICAL CENTER DRIVE, SUITE 210, BIRMINGHAM, AL, 352096823

Signature of
Role Plan administrator
Date 2017-10-09
Name of individual signing ELI L. BROWN, M.D.
Role Employer/plan sponsor
Date 2017-10-09
Name of individual signing ELI L. BROWN, M.D.
ELI L. BROWN, M.D., P.C. 401(K) PROFIT SHARING PLAN 2015 203171855 2016-10-13 ELI L. BROWN, M.D., P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2058772966
Plan sponsor’s address 2006 BROOKWOOD MEDICAL CENTER DRIVE, SUITE 210, BIRMINGHAM, AL, 352096823

Signature of
Role Plan administrator
Date 2016-10-12
Name of individual signing ELI L. BROWN, M.D.
Role Employer/plan sponsor
Date 2016-10-12
Name of individual signing ELI L. BROWN, M.D.
ELI L. BROWN, M.D., P.C. 401(K) PROFIT SHARING PLAN 2014 203171855 2015-10-14 ELI L. BROWN, M.D., P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2058772966
Plan sponsor’s address 2006 BROOKWOOD MEDICAL CENTER DRIVE, SUITE 210, BIRMINGHAM, AL, 352096823

Signature of
Role Plan administrator
Date 2015-10-13
Name of individual signing ELI L. BROWN, M.D.
Role Employer/plan sponsor
Date 2015-10-13
Name of individual signing ELI L. BROWN, M.D.

Agent

Name Role
RANSBURG-BROWN, CYNTHIA Agent

Incorporator

Name Role Address
RITCHEY, JOSEPH T Incorporator 2311 HIGHLAND AVENUE SOUTHBIRMINGHAM, AL 35205

Events

Event Date Event Type Old Value New Value
2005-09-28 Name Change ECAE, Inc. Eli L. Brown, M.D., P.C.

Related by officers

RANSBURG-BROWN, CYNTHIA

Physicians Leasing, L.L.C. DCLH, Inc. Mineral District Medical Society

RITCHEY, JOSEPH T

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2311 HIGHLAND AVE SOUTH STE 500BIRMINGHAM, AL 35205

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Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State

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