Active NPI
Allergy & Asthma Ctr of Tuscaloosa, PC
- Allergy & Immunology Physician
- Tuscaloosa, AL
National Provider Identifier
1215076088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- Legal business name
- ALLERGY & ASTHMA CTR OF TUSCALOOSA, PC
- Practice address
- 535 Jack Warner Pkwy NE
Suite C
Tuscaloosa, AL 35404-5751 - Phone
- (205) 553-2252
- Fax
- (205) 553-3326
- NPI assigned
- Feb 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Bruce Bush
- Title
- Billing Manager
- Phone
- (800) 543-6869
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | AL | Primary |
Addresses
Primary practice location
535 Jack Warner Pkwy NE
Suite C
Tuscaloosa, AL 35404-5751
Mailing address
535 Jack Warner Pkwy NE
Suite C
Tuscaloosa, AL 35404-5751
Phone (205) 553-2252
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D2264625 | Allergy and Asthma Center of Tuscaloosa, PC | Certificate of waiver | Jul 17, 2026 |
National Provider Directory
National Provider DirectoryLocations
535 Jack Warner Pkwy NE
Ste C
Tuscaloosa, AL 35404
Phone (205) 553-2252
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Allergy & Immunology Physician
- Tuscaloosa, AL
- NPI 1225019706
-
- Student in an Organized Health Care Education/Training Program
- Manhasset, NY
- NPI 1760914352
AL
-
- Allergy Physician
- Tuscaloosa, AL
- NPI 1518948306
-
- Family Nurse Practitioner
- Tuscaloosa, AL
- NPI 1881226348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1638921600000",
"number": "1215076088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 JACK WARNER PKWY NE",
"address_2": "SUITE C",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354045751",
"telephone_number": "205-553-2252",
"fax_number": "205-553-3326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 JACK WARNER PKWY NE",
"address_2": "SUITE C",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354045751",
"telephone_number": "205-553-2252",
"fax_number": "205-553-3326"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLERGY & ASTHMA CTR OF TUSCALOOSA, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-06",
"last_updated": "2021-12-08",
"certification_date": "2021-12-08",
"status": "A",
"authorized_official_last_name": "BUSH",
"authorized_official_first_name": "BRUCE",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "800-543-6869",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": "AL",
"license": null,
"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 Dec 8, 2021; 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.