Individual provider Active NPI

Eric Lee Dubois

  • Surgery Physician
  • Birmingham, AL
National Provider Identifier
1124319694
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD.33177 Issued in AL
Practice address
52 Medical Park Dr E
Ste 308
Birmingham, AL 35235-3433
Phone
(205) 838-3025
Fax
(205) 838-3897
NPI assigned
May 2, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD.33177 AL Primary

Addresses

Primary practice location

52 Medical Park Dr E
Ste 308
Birmingham, AL 35235-3433

Mailing address

52 Medical Park Dr E
Ste 308
Birmingham, AL 35235-3433
Phone (205) 838-3025

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
I20160707000843 AL Practitioner - General Surgery 2264666254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Surgical Associates, P.C.Group PAC ID 9537182407, 5 clinicians

Practice addresses (Care Compare)

52 Medical Park Dr E
Suite 308
Birmingham, AL 35235-3433
Phone (205) 838-3025

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)42
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Leg revascularization (restoring blood flow)1-10
Removal of tissue427
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.33177ALMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Surgical Associates, P.C. CurrentSince Jul 1, 2016 Accepting new patients
Baptist Health System, Inc. Past Accepting new patients
Baptist Health System, Inc. Past Accepting new patients

Locations

52 Medical Park Dr E
Ste 308
Birmingham, AL 35235
Phone (205) 838-3025

150 Gilbreath Dr
Oneonta, AL 35121
Phone (205) 274-3000

70 Plaza Dr
Pell City, AL 35125
Phone (205) 814-9284

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEBACA
  • FHIR API: https://fhir4.healow.com/fhir/r4/DEBACA/Endpoint/DEBACA

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1124319694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 MEDICAL PARK DR E",
            "address_2": "STE 308",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353433",
            "telephone_number": "205-838-3025",
            "fax_number": "205-838-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 MEDICAL PARK DR E",
            "address_2": "STE 308",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353433",
            "telephone_number": "205-838-3025",
            "fax_number": "205-838-3897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOIS",
        "first_name": "ERIC",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-02",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "MD.33177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.