NPIMap

Organization Active NPI

Orthosports Associates LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Birmingham, AL
National Provider Identifier
1114226438
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
ORTHOSPORTS ASSOCIATES LLC
Practice address
833 Saint Vincents Dr
BLDG. 3, Suite 403
Birmingham, AL 35205-1606
Phone
(205) 939-0447
Fax
(205) 939-0418
NPI assigned
Mar 25, 2011
Last updated
Aug 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

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

Authorized official

Name
Shane Buggay, M.D.
Title
President
Phone
(205) 939-0447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X NU Primary

Addresses

Primary practice location

833 Saint Vincents Dr
BLDG. 3, Suite 403
Birmingham, AL 35205-1606

Mailing address

833 Saint Vincents Dr
BLDG. 3, Suite 403
Birmingham, AL 35205-1606
Phone (205) 939-0447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110418000109 AL Part B Supplier - Clinic/Group Practice 3173707171 Receives reassigned benefits from 57 practitioners
3 other NPIs on this enrollment
Practice locations: Birmingham, AL; Vestavia Hills, AL; Trussville, AL; Talladega, AL; Pell City, AL; Jasper, AL; Hoover, AL; Cullman, AL
O20110819000574 AL DME Supplier - Physician - Orthopedic/Orthopedic SurgeryDME Supplier - Independently-Practicing Occupational Therapist 3173707171 Practice locations: Birmingham, AL

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 59

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 59

NPI Registry JSON

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

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343779200000",
    "number": "1114226438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 SAINT VINCENTS DR",
            "address_2": "BLDG. 3, SUITE 403",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051606",
            "telephone_number": "205-939-0447",
            "fax_number": "205-939-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 SAINT VINCENTS DR",
            "address_2": "BLDG. 3, SUITE 403",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051606",
            "telephone_number": "205-939-0447",
            "fax_number": "205-939-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOSPORTS ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-25",
        "last_updated": "2012-08-01",
        "status": "A",
        "authorized_official_last_name": "BUGGAY",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-939-0447",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.