Individual provider Active NPI

Ricardo Bracer, MD

  • Diagnostic Radiology Physician
  • Birmingham, AL
National Provider Identifier
1043215239
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
20038 Issued in AL
Practice address
701 Princeton Ave SW
Birmingham, AL 35211-1303
Phone
(205) 868-6209
NPI assigned
Jun 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 20038 AL Primary

Addresses

Primary practice location

701 Princeton Ave SW
Birmingham, AL 35211-1303

Mailing address

2000A Southbridge Pkwy
Ste 300
Birmingham, AL 35209-7718
Phone (205) 871-4274

Other identifiers 14

IdentifierTypeStateIssuer
009942009MedicaidAL
051519029OtherALBLUE CROSS
009988265MedicaidAL
051526314OtherALBLUE CROSS
515-94558OtherALBLUE CROSS
105590MedicaidAL
009941714MedicaidAL
051539415OtherALBLUE CROSS
051540900OtherALBLUE CROSS
168711MedicaidAL
051519029MedicaidAL
511-09716OtherALBLUE CROSS
511-56293OtherALBLUE CROSS
122588MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040308001037 AL Practitioner - Diagnostic Radiology 3577451905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Puerto Rico School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Birmingham Radiological Group PCGroup PAC ID 8022922756, 40 clinicians

Practice addresses (Care Compare)

2000 A Southbridge Pkwy
Suite 300
Birmingham, AL 35209-7718

3400 Hwy 78E
Jasper, AL 35502-8907
Phone (205) 387-4000

44 Medical Park Dr E
Birmingham, AL 35235-3401
Phone (205) 838-3660

50 Medical Park Dr E
Birmingham, AL 35235-3401
Phone (205) 838-3435

604 Stone Ave
Talladega, AL 35160-2217
Phone (256) 761-8111

701 Princeton Ave SW
Birmingham, AL 35211-1303
Phone (205) 783-3000

Hospital & facility affiliations

  • Princeton Baptist Medical Center Hospital, Birmingham, AL, CCN 010103
  • Citizens Baptist Medical Center Hospital, Talladega, AL, CCN 010101
  • Walker Baptist Medical Center Hospital, Jasper, AL, CCN 010089
  • University of Alabama Hospital Hospital, Birmingham, AL, CCN 010033
  • Coosa Valley Medical Center Hospital, Sylacauga, AL, CCN 010164

Merit-based Incentive Payment System (MIPS)

Final score
80.76 of 100Reported as group
Quality
78.69
Improvement activities
40
Cost
74.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20038ALMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Birmingham Radiological Group, PC CurrentSince Jan 1, 2004 Accepting new patients
Birmingham Radiological Group PC Diagnostic Radiology CurrentSince Jan 1, 2004 Accepting new patients
Birmingham Radiological Group, PC PastSince Jan 1, 1990 Accepting new patients
Birmingham Radiological Group, PC PastSince Jan 1, 1990 Accepting new patients
Birmingham Radiological Group, PC PastSince Jan 1, 1990 Accepting new patients
Birmingham Radiological Group, PC PastSince Jan 1, 1990 Accepting new patients
Nephrology Associates, PC Past Accepting new patients
Birmingham Radiological Group, PC PastSince Jan 1, 1990 Accepting new patients

Locations

400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121

701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860

50 Medical Park Dr E
Birmingham, AL 35235
Phone (205) 838-3000

44 Medical Park Dr E
Birmingham, AL 35235
Phone (205) 838-3660

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

2000A Southbridge Pkwy
Ste 300
Birmingham, AL 35209

201 Pine St NW
Hartselle, AL 35640
Phone (256) 751-3000

2010 Medical Center Dr
Homewood, AL 35209
Phone (205) 877-1930

2950 Highway 78 E
Jasper, AL 35501
Phone (205) 221-5374

150 Gilbreath Dr
Oneonta, AL 35121
Phone (205) 274-3000

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1043215239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000A SOUTHBRIDGE PKWY",
            "address_2": "STE 300",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352097718",
            "telephone_number": "205-871-4274",
            "fax_number": "205-871-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 PRINCETON AVE SW",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111303",
            "telephone_number": "205-868-6209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACER",
        "first_name": "RICARDO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "20038",
            "primary": true
        }
    ],
    "identifiers": [
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        },
        {
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        },
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        },
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            "issuer": "BLUE CROSS",
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        },
        {
            "code": "01",
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            "issuer": "BLUE CROSS",
            "identifier": "515-94558",
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        {
            "code": "05",
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            "issuer": null,
            "identifier": "105590",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009941714",
            "state": "AL"
        },
        {
            "code": "01",
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            "issuer": "BLUE CROSS",
            "identifier": "051539415",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051540900",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168711",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051519029",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "511-09716",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "511-56293",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122588",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.