Suresh B Boppana, MD | |
1600 7th Ave S, Birmingham, AL 35233-1711 | |
(205) 939-9587 | |
(205) 975-4623 |
Full Name | Suresh B Boppana |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1600 7th Ave S, Birmingham, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265429419 | NPI | - | NPPES |
009912612 | Medicaid | AL | |
009930750 | Medicaid | AL | |
4461381 | Other | AL | AETNA |
510-95531 | Other | AL | BCBS |
1265429419 | Other | AL | TRICARE SOUTH |
000088303 | Medicaid | AL | |
510-88303 | Other | AL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD.15386 (Alabama) | Secondary |
208000000X | Pediatrics | MD.15386 (Alabama) | Primary |
Entity Name | University Of Alabama Health Services Foundation, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093768723 PECOS PAC ID: 1951213107 Enrollment ID: O20031105000261 |
Mailing Address | Practice Location Address |
---|---|
Suresh B Boppana, MD 703 Volker Hl, Birmingham, AL 35294-0001 Ph: (205) 934-3795 | Suresh B Boppana, MD 1600 7th Ave S, Birmingham, AL 35233-1711 Ph: (205) 939-9587 |
Robert Patrick Richter, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 7th Ave S, Birmingham, AL 35233 Phone: 205-638-9100 | |
Dr. Mary Orr, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 7th Ave S, Birmingham, AL 35233 Phone: 205-638-9100 Fax: 205-934-7273 | |
Roger Dean Bruce, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2660 10th Ave S, Suite 636, Birmingham, AL 35205 Phone: 205-930-2220 Fax: 205-930-2223 | |
Stephanie Berger, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 7th Ave S, Mcwane Building Suite 108, Birmingham, AL 35233 Phone: 205-638-2904 | |
Jaime Dion Mckinney, Pediatrics Medicare: Medicare Enrolled Practice Location: 703 Volker Hl, Birmingham, AL 35294 Phone: 205-934-3795 | |
Worth Littlejohn Barbour, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 619 19th St S, Birmingham, AL 35249 Phone: 205-939-9587 | |
Timothy Todd Fleenor, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 619 19th St S, Birmingham, AL 35249 Phone: 205-934-5004 |