NPIMap

Individual provider Active NPI

Andre H Doucet, M.D.

  • Emergency Medicine Physician
  • Birmingham, AL
National Provider Identifier
1063441509
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
00024609 Issued in AL
Practice address
810 Saint Vincents Dr
Birmingham, AL 35205-1601
Phone
(205) 939-7000
NPI assigned
Jun 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 00024609 AL Primary

Addresses

Primary practice location

810 Saint Vincents Dr
Birmingham, AL 35205-1601

Mailing address

14050 NW 14TH St
Suite 190
Sunrise, FL 33323-2865
Phone (800) 424-3672

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040217000487 AL Practitioner - Emergency MedicinePractitioner - Family Practice 8820983083 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00024609ALMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Moore Emergency Group, LLC Emergency Medicine CurrentSince Apr 18, 2020 Accepting new patients
Baldwin Emergency Physicians, P.C.. Emergency Medicine CurrentSince Jul 1, 2016 Accepting new patients
Mobile Emergency Physicians, LLC Emergency Medicine CurrentSince Apr 15, 2013 Accepting new patients
Department of Health and Hospitals Past Accepting new patients
Inphynet Contracting Services LLC Emergency Medicine Past Accepting new patients
Paragon Contracting Services LLC Emergency Medicine Past Accepting new patients
American Family Care, LLC Past Accepting new patients
Emergency Medicine Associates of Mobile Past Accepting new patients
Hospital Service District No. 2 Past Accepting new patients
American Family Care, LLC Past Accepting new patients
Louisiana Department of Health, Department of Health and Hospitals Past Accepting new patients

Locations

849 S Three Notch St
Andalusia, AL 36420
Phone (334) 222-8466

750 Morphy Ave
Fairhope, AL 36532
Phone (251) 928-2375

1613 N McKenzie St
Foley, AL 36535
Phone (251) 949-3400

6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063441509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14050 NW 14TH ST",
            "address_2": "SUITE 190",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232865",
            "telephone_number": "800-424-3672",
            "fax_number": "954-377-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 SAINT VINCENTS DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051601",
            "telephone_number": "205-939-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUCET",
        "first_name": "ANDRE",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "00024609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.