Gustavo R Heudebert, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

19069 Issued in AL

Practice address

2055 E South Blvd Ste 202
Montgomery, AL 36116-2002

Phone

(334) 284-5211

Fax

(334) 284-9020

NPI assigned

Jun 23, 2006

Last updated

Jun 16, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Health Care Authority for Baptist Health, an Affiliate of Uabhs

  dba Montgomery Primary Medicine Associates

  • Family Medicine Physician
  • Montgomery, AL
  • NPI 1982653390
  Medicare reassignment NPD
• University of Alabama at Birmingham

  dba UAB Health Center Montgomery

  • Internal Medicine Physician
  • Montgomery, AL
  • NPI 1184738478
  Medicare reassignment NPD
• University of Alabama Health Services Foundation, PC.

  • Multi-Specialty Clinic/Center
  • Birmingham, AL
  • NPI 1093768723
  Medicare reassignment NPD
• Health Care Authority for Baptist Health, an Affiliate of Uabhs

  dba Baptist Health Care Partners

  • Internal Medicine Physician
  • Montgomery, AL
  • NPI 1033534524
  NPD
• Health Care Authority for Baptist Health, an Affiliate of Uabhs

  dba Montgomery Cardiovascular Associates

  • Cardiovascular Disease Physician
  • Montgomery, AL
  • NPI 1427822279
  NPD
• University of Alabama at Birmingham

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1447145818
  NPD
• The Health Care Authority for Baptist Health

  dba Baptist Medical Center South - Wound Care

  • Clinic/Center
  • Montgomery, AL
  • NPI 1538347067
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1225064298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 E SOUTH BLVD STE 202",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162002",
            "telephone_number": "334-284-5211",
            "fax_number": "334-284-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 E SOUTH BLVD STE 202",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162002",
            "telephone_number": "334-284-5211",
            "fax_number": "334-284-9020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "619 19th Street South",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "35233",
            "country_code": "US",
            "telephone_number": "205-934-4011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "619 19th Street South",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "35233",
            "country_code": "US",
            "telephone_number": "205-934-4011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEUDEBERT",
        "first_name": "GUSTAVO",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "19069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juanita Hester
• Kelly Hester, PHARMD, BCPS
• Roland A Hester IV, M.D.
• Kurt Hetler, RPH
• Edward E. Hettinger Jr., C.R.N.A.
• William David Hewitt, MD
• Nathan Ross Hewlett, M.D.
• Ira Kneeland Hibbett Jr.
• Brittany M Hicks, PHARMD
• Lauren Hicks

• Internal Medicine Physician in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.