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Birmingham Vascular Associates, P.C.

Details

Name: Birmingham Vascular Associates, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 23 Feb 2007 (18 years ago)
Date of dissolution: 03 Feb 2023
Entity Number: 000-251-377
Register Number: 000251377
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 1021 MONTGOMERY HWY, SUITE 206VESTAVIA HILLS, AL 35216
Registered Office Street Address ZIP Code: 35216
Authorized Capital: $1,000

Activities MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1306978507 2007-03-12 2014-01-15 2018 BROOKWOOD MEDICAL CTR DR, SUITE 214, BIRMINGHAM, AL, 352096898, US 2018 BROOKWOOD MEDICAL CTR DR, SUITE 214, BIRMINGHAM, AL, 352096898, US

Contacts
Phone +1 205-423-2495
Fax 2054232498

Authorized person
Name ROBERT WILLIAM HEIDEPRIEM, III
Role OWNER
Phone 2054232495

Taxonomy
Taxonomy Code 2086S0129X - Vascular Surgery Physician
License Number 23846
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BIRMINGHAM VASCULAR ASSOCIATES, P.C. RETIREMENT PLAN 2023 208500240 2024-04-03 BIRMINGHAM VASCULAR ASSOCIATES P.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-07-15
Business code 621111
Sponsor’s telephone number 2054232495
Plan sponsor’s address VESTAVIA MEDICAL CENTER, 1021 MONTGOMERY HWY STE 206, VESTAVIA HILLS, AL, 35216
BIRMINGHAM VASCULAR ASSOCIATES, P.C. RETIREMENT PLAN 2022 208500240 2023-03-28 BIRMINGHAM VASCULAR ASSOCIATES P.C. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-07-15
Business code 621111
Sponsor’s telephone number 2054232495
Plan sponsor’s address VESTAVIA MEDICAL CENTER, 1021 MONTGOMERY HWY STE 206, VESTAVIA HILLS, AL, 35216
BIRMINGHAM VASCULAR ASSOCIATES, P.C. RETIREMENT PLAN 2021 208500240 2022-10-13 BIRMINGHAM VASCULAR ASSOCIATES P.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-07-15
Business code 621111
Sponsor’s telephone number 2054232495
Plan sponsor’s address VESTAVIA MEDICAL CENTER, 1021 MONTGOMERY HWY STE 206, VESTAVIA HILLS, AL, 35216

Signature of
Role Plan administrator
Date 2022-10-13
Name of individual signing LISA STIFF
BIRMINGHAM VASCULAR ASSOCIATES, P.C. RETIREMENT PLAN 2020 208500240 2021-05-17 BIRMINGHAM VASCULAR ASSOCIATES P.C. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-07-15
Business code 621111
Sponsor’s telephone number 2054232495
Plan sponsor’s address VESTAVIA MEDICAL CENTER, 1021 MONTGOMERY HWY STE 206, VESTAVIA HILLS, AL, 35216

Signature of
Role Plan administrator
Date 2021-05-17
Name of individual signing LISA STIFF
BIRMINGHAM VASCULAR ASSOCIATES, P.C. RETIREMENT PLAN 2019 208500240 2020-06-15 BIRMINGHAM VASCULAR ASSOCIATES P.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-07-15
Business code 621111
Sponsor’s telephone number 2054232495
Plan sponsor’s address 2018 BROOKWOOD MEDICAL CENTER, SUITE 214, BIRMINGHAM, AL, 352096870

Signature of
Role Plan administrator
Date 2020-06-15
Name of individual signing LISA STIFF
BIRMINGHAM VASCULAR ASSOCIATES, P.C. RETIREMENT PLAN 2018 208500240 2019-10-08 BIRMINGHAM VASCULAR ASSOCIATES P.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-07-15
Business code 621111
Sponsor’s telephone number 2054232495
Plan sponsor’s address 2018 BROOKWOOD MEDICAL CENTER, SUITE 214, BIRMINGHAM, AL, 352096870

Signature of
Role Plan administrator
Date 2019-10-08
Name of individual signing LISA STIFF

Agent

Name Role
HEIDEPRIEM, ROBERT W III Agent

Incorporator

Name Role Address
STEWART, WILLIAM B Incorporator 800 SHADES CREEK PARKWAY, SUITE 400BIRMINGHAM, AL 35209-1196

Related by officers

STEWART, WILLIAM B

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Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State

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