Tuesday M Bigelow, M.D.

Individual provider Active NPI Plastic and Reconstructive Surgery Physician · Scottsboro, AL

NPI 1154743573 · NPPES record last updated Jan 21, 2014

Key facts

NPI
1154743573
Entity type
Individual (NPI type 1)
Primary specialty
Plastic and Reconstructive Surgery Physician 2086S0122X
License
19769 (AL)
Practice address
1202 S Broad St
Scottsboro, AL 35768-2516
Phone
(256) 259-5950
Fax
(256) 259-5954
NPI assigned
Jan 21, 2014
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19769ALMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tuesday Bigelow Cosmetic Surgery Center Past Accepting new patients
Alabama Dental Professionals PC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 19769 AL Yes

Addresses

Primary practice location

1202 S Broad St
Scottsboro, AL 35768-2516

Mailing address

1202 S Broad St
Scottsboro, AL 35768-2516
Phone (256) 259-5950

Other identifiers

IdentifierTypeStateIssuer
000026688MedicaidAL

Other providers in Scottsboro, AL

All providers in Scottsboro, AL · Plastic and Reconstructive Surgery Physician in Alabama

Sources for this page

Verify at the official NPI Registry.