Individual provider Active NPI

Kent A Tucker, M.D.

  • Hematology & Oncology Physician
  • Birmingham, AL
National Provider Identifier
1114951639
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
10570 Issued in AL
Practice address
100 Pilot Medical Drive
Suite 175
Birmingham, AL 35235
Phone
(205) 856-8488
Fax
(205) 856-8852
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 10570 AL Primary

Addresses

Primary practice location

100 Pilot Medical Drive
Suite 175
Birmingham, AL 35235

Mailing address

500 Office Park Dr
Suite 400
Birmingham, AL 35223-2437
Phone (205) 803-4330

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
I20100208000651 AL Practitioner - Medical Oncology 4486736295 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Birmingham Hematology Oncology Assoc LLC Hematology & Oncology CurrentSince Jun 4, 1999 Accepting new patients
Alabama Vision Center, LLC Past Accepting new patients

Locations

737 Memorial Dr
Ste 2
Bessemer, AL 35022
Phone (205) 481-4511

5000 Medical West Way
Ste 610
Bessemer, AL 35022
Phone (205) 481-4511

100 Pilot Medical Dr
Ste 175
Birmingham, AL 35235
Phone (205) 856-8488

790 Montclair Rd
Ste 100
Birmingham, AL 35213
Phone (205) 592-7571

500 Office Park Dr
Ste 400
Mountain Brk, AL 35223
Phone (205) 803-4384

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1114951639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 OFFICE PARK DR",
            "address_2": "SUITE 400",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352232437",
            "telephone_number": "205-803-4330",
            "fax_number": "205-803-4354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PILOT MEDICAL DRIVE",
            "address_2": "SUITE 175",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35235",
            "telephone_number": "205-856-8488",
            "fax_number": "205-856-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "KENT",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AL",
            "license": "10570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.