Max Blane Bullen

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

1-054439 Issued in AL

Practice address

Bapitist Medical Center South,2105 East South Boulevard
Montgomery, AL 38111-0010

Phone

(334) 288-2100

NPI assigned

Jan 30, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mbullen@direct.uabmedicine.org

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.

• Premier Anesthesia of Montgomery PC

  • Anesthesiology Physician
  • Montgomery, AL
  • NPI 1780636233

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• University of Alabama at Birmingham

  • Internal Medicine Physician
  • Montgomery, AL
  • NPI 1184738478
  Medicare reassignment NPD
• University of Alabama Health Services Foundation, PC.

  • Multi-Specialty Clinic/Center
  • Birmingham, AL
  • NPI 1093768723
  Medicare reassignment NPD
• University of Alabama at Birmingham

  • Certified Registered Nurse Anesthetist
  • Birmingham, AL
  • NPI 1356674360

  Nurse Anesthetist, Certified Registered

  NPD
• University of Alabama at Birmingham

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1447145818
  NPD
• Vaughan Regional Medical Center LLC

  • Anesthesiology Physician
  • Selma, AL
  • NPI 1114088846

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1093852329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 CANTER WAY",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350077610",
            "telephone_number": "205-621-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BAPITIST MEDICAL CENTER SOUTH,2105 EAST SOUTH BOULEVARD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "381110010",
            "telephone_number": "334-288-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLEN",
        "first_name": "MAX",
        "middle_name": "BLANE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-054439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick J. Budny, M.D.
• John A. Buettner, D.M.D.
• Rosemary W Buford, RD
• Victoria Buford
• Roy Harrell Bullard, DMD
• Bullock Family Care Center LLC
• Bullock Immediate Care LLC
• Cassidy Moses Bumgardner, PHARM.D.
• Karla Spurlin Bundy, RPH
• Lisa Munsch Bundy, M.D.

• Certified Registered Nurse Anesthetist in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Certified Registered Nurse Anesthetist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.