Individual provider Active NPI

Trudie Dianne Seirafi, PA

  • Surgical Physician Assistant
  • Montgomery, AL
National Provider Identifier
1184680431
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA-201 Issued in AL
Practice address
1510 Forest Ave
Montgomery, AL 36106-1517
Phone
(334) 834-6422
NPI assigned
Apr 25, 2006
Last updated
Aug 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-201 AL
Surgical Physician Assistant 363AS0400X PA-201 AL Primary

Addresses

Primary practice location

1510 Forest Ave
Montgomery, AL 36106-1517

Mailing address

PO Box 240635
Montgomery, AL 36124-0635
Phone (205) 435-0938

Other names 1

  • Mrs. Trudie Dianne Bogues Former name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-201ALMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Past Accepting new patients
Southern Medical Group, Inc Past Accepting new patients
Troy Surgical Associates, LLC PastSince Oct 30, 2008 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: trudie.seirafi.1@19249.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1184680431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 240635",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361240635",
            "telephone_number": "205-435-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 FOREST AVE",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061517",
            "telephone_number": "334-834-6422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIRAFI",
        "first_name": "TRUDIE",
        "middle_name": "DIANNE",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA-201",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AL",
            "license": "PA-201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRUDIE",
            "last_name": "BOGUES",
            "middle_name": "DIANNE",
            "prefix": "MRS.",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.