Individual provider Active NPI

David W Purner, M.D.

  • Family Medicine Physician
  • Madison, AL
National Provider Identifier
1083623987
Registry record updated Jun 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
00013143 Issued in AL
Practice address
12205 County Line Rd
Suite B
Madison, AL 35758-7719
Phone
(256) 325-4365
Fax
(256) 461-0393
NPI assigned
Aug 7, 2006
Last updated
Jun 16, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 00013143 AL Primary

Addresses

Primary practice location

12205 County Line Rd
Suite B
Madison, AL 35758-7719

Mailing address

12205 County Line Rd
Suite B
Madison, AL 35758-7719
Phone (256) 325-4365

Other identifiers 3

IdentifierTypeStateIssuer
631053058027OtherALTRICARE
51536438OtherALBCBS
009939037MedicaidAL

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
I20061009000306 AL Practitioner - Family PracticePractitioner - Emergency Medicine 5698771053 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
East Tennessee State University Quillen College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Family Care, LLCGroup PAC ID 9739087818, 180 clinicians

Practice addresses (Care Compare)

2604 Hwy 31 S
Decatur, AL 35603-1506
Phone (256) 445-3050

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00013143ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Care, LLC Family Medicine CurrentSince Jul 31, 2025 Accepting new patients
Limestone Medical Associates Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
American Family Care, LLC Current Accepting new patients
American Family Care, LLC CurrentSince Jul 31, 2025 Accepting new patients
Singing River Healthcare, LLC PastSince Jul 24, 2017 Accepting new patients
Johnston Memorial Hospital, Inc Past Accepting new patients
Lister Healthcare Corporation Family Medicine Past Accepting new patients
Charles Anthony Gaputis Family Medicine Past Accepting new patients

Locations

15243 Greenfield Dr
#A
Athens, AL 35613
Phone (256) 233-2332

2604 Highway 31 S
Decatur, AL 35603
Phone (256) 445-3050

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

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, 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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308182400000",
    "number": "1083623987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12205 COUNTY LINE RD",
            "address_2": "SUITE B",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357587719",
            "telephone_number": "256-325-4365",
            "fax_number": "256-461-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12205 COUNTY LINE RD",
            "address_2": "SUITE B",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357587719",
            "telephone_number": "256-325-4365",
            "fax_number": "256-461-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURNER",
        "first_name": "DAVID",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2011-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00013143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "631053058027",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51536438",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009939037",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.