Gray C. Buck III, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

00012612 Issued in AL

Practice address

2700 10TH Ave S
Suite 403
Birmingham, AL 35205-1200

Phone

(205) 933-7946

Fax

(205) 930-2779

NPI assigned

Sep 6, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264982400000",
    "number": "1093709172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 10TH AVE S",
            "address_2": "SUITE 403",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051200",
            "telephone_number": "205-933-7946",
            "fax_number": "205-930-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 10TH AVE S",
            "address_2": "SUITE 403",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051200",
            "telephone_number": "205-933-7946",
            "fax_number": "205-930-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "GRAY",
        "middle_name": "C.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2010-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "00012612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "582517165",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009949225",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Connie D Buchanan, MD
• Logan Buchanan, MD
• Sequoia Alexus Buchanan, RN
• Trenton H. Buchanan, DMD
• Chinyere Hope Buchi-Ahiabuike, DNP, CRNP
• William Pettus Buck Jr., DMD
• Robert B Buckingham, MD
• Shelleigh McVicker Buckingham, O.D.
• Susan Iskandrian Buckingham, M.D.
• Kendra Nicole Buckley, ALC, NCC

• Surgery Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.