Individual provider Active NPI

David W Devine, CRNA

  • Certified Registered Nurse Anesthetist
  • Bessemer, AL
National Provider Identifier
1164574687
Registry record updated Dec 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-093384 Issued in AL
Practice address
995 9TH Ave SW
Bessemer, AL 35022-4527
Phone
(205) 481-7000
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1-093384 AL Primary

Addresses

Primary practice location

995 9TH Ave SW
Bessemer, AL 35022-4527

Mailing address

3620 White Oaks RDG
Tuscaloosa, AL 35406-4413
Phone (205) 657-8725

Other identifiers 1

IdentifierTypeStateIssuer
5884851OtherALDRIVERS LIC NEW PROVIDER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070322000169 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052415551 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capstone Anesthesia Services LLCGroup PAC ID 0648401679, 6 clinicians
Vision Correction Center, LLCGroup PAC ID 9537051024, 3 clinicians
Northport - CrnaGroup PAC ID 3971791286, 27 clinicians

Practice addresses (Care Compare)

100 Rice Mine Rd Loop
Suite 104
Tuscaloosa, AL 35406-2421
Phone (205) 561-2370

1406 McFarland Blvd N
Suite 2B
Tuscaloosa, AL 35406-2294
Phone (205) 248-0095

2700 Hospital Dr
Northport, AL 35476-3360
Phone (205) 333-4500

Hospital & facility affiliations

  • DCH Regional Medical Center Hospital, Tuscaloosa, AL, CCN 010092

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-093384ALMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Medfusions Nurse Anesthetist, Certified Registered CurrentSince Sep 24, 2021 Accepting new patients
Northport - Crna Nurse Anesthetist, Certified Registered CurrentSince Mar 14, 2016 Accepting new patients
DCH Medical Center Crna Nurse Anesthetist, Certified Registered CurrentSince Mar 14, 2016 Accepting new patients
Vision Correction Center, LLC Current Accepting new patients
Capstone Anesthesia Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2014 Accepting new patients

Locations

2700 Hospital Dr
Northport, AL 35476
Phone (205) 333-4500

120 Rice Mine Rd N
Tuscaloosa, AL 35406
Phone (205) 345-0010

701 University Blvd E
Ste 400
Tuscaloosa, AL 35401
Phone (205) 752-0694

301 Rice Mine Rd NE
Tuscaloosa, AL 35406
Phone (205) 750-0022

100 Rice Mine Road Loop
Ste 104
Tuscaloosa, AL 35406
Phone (205) 342-2552

1406 McFarland Blvd N
Ste 2B
Tuscaloosa, AL 35406
Phone (205) 248-0095

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

Organizations & group practices 6

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 3

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292284800000",
    "number": "1164574687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 WHITE OAKS RDG",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354064413",
            "telephone_number": "205-657-8725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 9TH AVE SW",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350224527",
            "telephone_number": "205-481-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVINE",
        "first_name": "DAVID",
        "middle_name": "W",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2010-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-093384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LIC NEW PROVIDER",
            "identifier": "5884851",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bessemer, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.