Active NPI
Luis Ronald Pernia, M.D.
- Specialist
- Tuscaloosa, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 4104
- Practice address
- 100 Towncenter Blvd Ste 111
Tuscaloosa, AL 35406-1832 - Phone
- (205) 330-8820
- Fax
- (205) 333-2515
- NPI assigned
- Nov 7, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 4104 | AL | Primary |
Addresses
Primary practice location
100 Towncenter Blvd Ste 111
Tuscaloosa, AL 35406-1832
Mailing address
100 Towncenter Blvd Ste 111
Tuscaloosa, AL 35406-1832
Phone (205) 330-8820
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Tulane University School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
100 Towncenter Blvd
Suite 11
Tuscaloosa, AL 35406-1833
Phone (205) 330-8820
100 Towncenter Blvd
Suite 111
Tuscaloosa, AL 35406-1832
Hospital & facility affiliations
- DCH Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
| Melanoma (skin cancer) excision | 15 |
| Removal of tissue | 19 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4104 | AL | MD | Professional Counselor |
| 10631 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Plastic Surgery Assoc., PC | Specialist | Current | Accepting new patients |
| Robert P. Bolling, MD, LLC | Current | Accepting new patients |
Locations
1325 McFarland Blvd
Ste 201
Northport, AL 35476
Phone (205) 330-8820
100 Towncenter Blvd
Ste 11
Tuscaloosa, AL 35406
Phone (205) 330-8820
100 Towncenter Blvd
Ste 111
Tuscaloosa, AL 35406
Phone (205) 330-8820
255 Baptist Blvd
Ste 306
Columbus, MS 39705
Phone (205) 345-8820
Networks
- bcbs alabama network 01E0
- bcbs alabama network 01A0
- bcbs alabama network 01G0
- bcbs alabama network 01H0
- bcbs alabama network 01B0
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.
-
- Plastic and Reconstructive Surgery Physician
- Tuscaloosa, AL
- NPI 1164680914
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tuscaloosa, AL
- NPI 1841394418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781049600000",
"number": "1174504336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 TOWNCENTER BLVD STE 111",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354061832",
"telephone_number": "205-330-8820",
"fax_number": "205-333-2515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 TOWNCENTER BLVD STE 111",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354061832",
"telephone_number": "205-330-8820",
"fax_number": "205-333-2515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERNIA",
"first_name": "LUIS",
"middle_name": "RONALD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-07",
"last_updated": "2026-06-10",
"certification_date": "2026-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AL",
"license": "4104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.
- 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.