Nader Bishara, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

22103 Issued in AL

Practice address

209 W Spring St
Suite 100
Sylacauga, AL 35150-2973

Phone

(256) 245-1237

Fax

(256) 249-5040

NPI assigned

Aug 31, 2005

Reactivated

Apr 5, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• The Sylacauga Health Care Authority

  • General Acute Care Hospital
  • Sylacauga, AL
  • NPI 1386853125
  NPD (past)
• Northeast Hospital Corporation

  • General Acute Care Hospital
  • Beverly, MA
  • NPI 1316917941
  NPD (past)
• Pasadena Hospital Association, LTD.

  • Psychiatric Hospital Unit
  • Pasadena, CA
  • NPI 1437121142
  NPD (past)
• Pediatrix Medical Group of California, a Professional Corporation

  • Neonatal-Perinatal Medicine Physician
  • Sunrise, FL
  • NPI 1316041833

  Pediatrics

  NPD (past)
• Usc Arcadia Hospital

  • Rehabilitation Hospital Unit
  • Arcadia, CA
  • NPI 1164410593
  NPD (past)

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1114911518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W SPRING ST",
            "address_2": "SUITE 100",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502973",
            "telephone_number": "256-245-1237",
            "fax_number": "256-249-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W SPRING ST",
            "address_2": "SUITE 100",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502973",
            "telephone_number": "256-245-1237",
            "fax_number": "256-249-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHARA",
        "first_name": "NADER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2023-03-07",
        "deactivation_date": "2006-03-24",
        "reactivation_date": "2006-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "22103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA STATE LICENSE NO.",
            "identifier": "22103",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52992100",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Dawson Bass
• Bates Enterprises
• Behavioral Educational Consultants of Alabama
• Elizabeth Ann Bernardi, LCSW, PIP
• Taylor Denise Bice, PHARMD
• James Waid Blackstone, M.D.
• Tamara Blair, LICSW
• Stephen R Bowen, PH.D., M.D.
• Karie Bowers, CRNP
• James Henry Bowman III, DPM

• Pediatrics Physician in Sylacauga, AL
• Providers in Sylacauga, AL by specialty
• Pediatrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.