Individual provider Active NPI

Mark Alan Buckmaster, M.D.

  • Anesthesiology Physician
  • Birmingham, AL
National Provider Identifier
1194702522
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
19298 Issued in AL
Practice address
1600 7TH Ave S
Suite 420 Acc
Birmingham, AL 35233-1711
Phone
(205) 939-9235
Fax
(205) 939-9936
NPI assigned
Dec 28, 2005
Last updated
Dec 5, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 19298 AL Primary

Addresses

Primary practice location

1600 7TH Ave S
Suite 420 Acc
Birmingham, AL 35233-1711

Mailing address

703 Volker HL
Birmingham, AL 35294-0001
Phone (205) 939-9235

Other identifiers 2

IdentifierTypeStateIssuer
051501388MedicaidAL
051501388OtherALBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101102000467 AL Practitioner - Pediatric Medicine 6709070915 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19298ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Feb 24, 2018 Accepting new patients
University of Alabama Health Services Foundation, PC CurrentSince Feb 24, 2018 Accepting new patients
Pediatric Anesthesia Associates PC Anesthesiology PastSince Nov 5, 1994 Accepting new patients
Uahsf PC Department of Peds Hemoc Past Accepting new patients

Locations

1500 6th Ave S
Birmingham, AL 35233
Phone (205) 934-2170

1600 7th Ave S
Birmingham, AL 35233
Phone (205) 638-9100

1600 7th Ave S
#420
Birmingham, AL 35233
Phone (205) 638-9235

1600 7th Ave S
Ste 420
Birmingham, AL 35233
Phone (205) 939-9235

703 Volker Hall
Birmingham, AL 35294
Phone (205) 638-9587

Interoperability endpoints

  • Direct secure messaging: mbuckmaster18528@childrensofalabama.direct-ci.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": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417737600000",
    "number": "1194702522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 VOLKER HL",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352940001",
            "telephone_number": "205-939-9235",
            "fax_number": "205-939-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 7TH AVE S",
            "address_2": "SUITE 420 ACC",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331711",
            "telephone_number": "205-939-9235",
            "fax_number": "205-939-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKMASTER",
        "first_name": "MARK",
        "middle_name": "ALAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2014-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AL",
            "license": "19298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051501388",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "051501388",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.