Individual provider Active NPI

Luis Ronald Pernia, M.D.

  • Specialist
  • Tuscaloosa, AL
National Provider Identifier
1174504336
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4104 Issued in AL
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

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101026001050 AL Practitioner - Plastic and Reconstructive Surgery 9830382506 Reassigns benefits to 1 organization
I20120530000453 MS Practitioner - Plastic and Reconstructive Surgery 9830382506 Reassigns benefits to 1 organization

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 Hospital, Tuscaloosa, AL, CCN 010092

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision15
Removal of tissue19
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4104ALMDProfessional Counselor
10631ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Plastic Surgery Assoc., PC Specialist CurrentSince Jun 23, 1995 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.

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": "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

Verify at the official NPI Registry.