Menu
Search icon

Bauer Urology Clinic, LLC

Details

Name: Bauer Urology Clinic, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 24 Sep 2004 (20 years ago) (Companies founded in September 2004)
Date of dissolution: 02 Feb 2021
Entity Number: 000-455-683
Register Number: 000455683
ZIP code: 36360 (Companies in Dale, 36360)
County: Dale
Place of Formation: Dale County
Registered Office Street Address: 118 HORSESHOE BEND DROZARK, AL 36360
Principal Address: OZARK, AL

Activities MEDICINE PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1144320342 2006-09-25 2020-08-22 PO BOX 159, ALEXANDER CITY, AL, 350110159, US 125 ALISON DR STE 2, ALEXANDER CITY, AL, 350104410, US

Contacts
Phone +1 256-215-3601

Authorized person
Name DR. BRAD L BAUER
Role PHYSICIAN AND 100 OWNER
Phone 2562153601

Taxonomy
Taxonomy Code 208800000X - Urology Physician
License Number 22601
State AL
Is Primary Yes

Other Provider Identifiers
Issuer PHYSICIAN HEALTHCARE SVCS
Number 9193345
State AL
Issuer BCBS OF AL PROVIDER #
Number 51526132
State AL
Issuer CCN/JSL ADMINISTRATORS IN
Number 1950797
State AL
Issuer IND. NPI # FOR DR.BAUER
Number 1457352684
State AL
Issuer PALMETTO GBA - RAILROAD
Number POO276233
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BAUER UROLOGY CLINIC, LLC RETIREMENT SAVINGS PLAN AND TRUST 2013 300276690 2014-10-03 BAUER UROLOGY CLINIC, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2562153601
Plan sponsor’s address PO BOX 159, ALEXANDER CITY, AL, 35011

Plan administrator’s name and address
Administrator’s EIN 300276690
Plan administrator’s name BAUER UROLOGY CLINIC, LLC
Plan administrator’s address PO BOX 159, ALEXANDER CITY, AL, 35011
Administrator’s telephone number 2562153601

Signature of
Role Plan administrator
Date 2014-10-03
Name of individual signing BRAD BAUER
BAUER UROLOGY CLINIC, LLC RETIREMENT PLAN AND TRUST 2013 300276690 2014-07-24 BAUER UROLOGY CLINIC, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2562153601
Plan sponsor’s address PO BOX 159, ALEXANDER CITY, AL, 35011

Plan administrator’s name and address
Administrator’s EIN 300276690
Plan administrator’s name BAUER UROLOGY CLINIC, LLC
Plan administrator’s address PO BOX 159, ALEXANDER CITY, AL, 35011
Administrator’s telephone number 2562153601

Signature of
Role Plan administrator
Date 2014-07-24
Name of individual signing BRAD BAUER
BAUER UROLOGY CLINIC, LLC RETIREMENT PLAN AND TRUST 2012 300276690 2013-10-15 BAUER UROLOGY CLINIC, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2562153601
Plan sponsor’s address PO BOX 159, ALEXANDER CITY, AL, 35011

Plan administrator’s name and address
Administrator’s EIN 300276690
Plan administrator’s name BAUER UROLOGY CLINIC, LLC
Plan administrator’s address PO BOX 159, ALEXANDER CITY, AL, 35011
Administrator’s telephone number 2562153601

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing BRAD BAUER
BAUER UROLOGY CLINIC, LLC RETIREMENT PLAN AND TRUST 2011 300276690 2012-10-15 BAUER UROLOGY CLINIC, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2562153601
Plan sponsor’s address PO BOX 159, ALEXANDER CITY, AL, 35011

Plan administrator’s name and address
Administrator’s EIN 300276690
Plan administrator’s name BAUER UROLOGY CLINIC, LLC
Plan administrator’s address PO BOX 159, ALEXANDER CITY, AL, 35011
Administrator’s telephone number 2562153601

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing BRAD BAUER
BAUER UROLOGY CLINIC, LLC RETIREMENT PLAN AND TRUST 2010 300276690 2011-10-12 BAUER UROLOGY CLINIC, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2562153601
Plan sponsor’s address PO BOX 159, ALEXANDER CITY, AL, 35011

Plan administrator’s name and address
Administrator’s EIN 300276690
Plan administrator’s name BAUER UROLOGY CLINIC, LLC
Plan administrator’s address PO BOX 159, ALEXANDER CITY, AL, 35011
Administrator’s telephone number 2562153601

Signature of
Role Plan administrator
Date 2011-10-12
Name of individual signing BRAD BAUER
BAUER UROLOGY CLINIC, LLC RETIREMENT PLAN AND TRUST 2009 300276690 2010-09-30 BAUER UROLOGY CLINIC, LLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2562153601
Plan sponsor’s address PO BOX 159, ALEXANDER CITY, AL, 35011

Plan administrator’s name and address
Administrator’s EIN 300276690
Plan administrator’s name BAUER UROLOGY CLINIC, LLC
Plan administrator’s address PO BOX 159, ALEXANDER CITY, AL, 35011
Administrator’s telephone number 2562153601

Signature of
Role Plan administrator
Date 2010-09-30
Name of individual signing BRAD BAUER

Member

Name Role
BAUER, BRAD L Member

Agent

Name Role
BAUER, BRAD L Agent

Related by officers

BAUER, BRAD L

BLBAMW Enterprises, LLC

Related by address

118 HORSESHOE BEND DROZARK, AL 36360

Tammy's Deli, Inc.

OZARK, AL

Associated Builders Corporation, Inc. Aviation Corporation of America SouthTrust Bank of Ozark Beasley's, Inc. The Bracewell Company Douglas Brown Insurance Agency, Inc. Brown Manufacturing Corporation The Commercial Bank of Ozark, Alabama Dale Farmers Cooperative, Inc. Jerry Mitchell Chevrolet, Inc.

Date of last update: 13 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