Active NPI
Travis J Buchanan, PA-C
- Physician Assistant
- Hoover, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA2102
- Practice address
- 5295 Preserve Pkwy Ste 260
Hoover, AL 35244-4703 - Phone
- (205) 380-9761
- Fax
- (205) 380-1957
- NPI assigned
- Sep 22, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2102 | KY | Primary |
| Physician Assistant | 363A00000X | 1080 | AL |
Addresses
Primary practice location
5295 Preserve Pkwy Ste 260
Hoover, AL 35244-4703
Mailing address
100 E Liberty St
Suite 800
Louisville, KY 40202-1434
Phone (502) 749-7909
Other practice location 1
908 DuPont Rd
Louisville, KY 40207-4602
Phone (502) 749-7909
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100422800 | Medicaid | KY |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of South Alabama College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
927 Franklin St SE
Huntsville, AL 35801-4305
Phone (256) 539-2728
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1080 | AL | MD | Orthopedic Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Komg-Louisville Region Inc. | Current | Accepting new patients | |
| Baptist Health Centers, LLC | Current | Accepting new patients | |
| Baptist Health Centers LLC | Current | Accepting new patients |
Locations
1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849
5295 Preserve Pkwy
Ste 260
Hoover, AL 35244
Phone (205) 444-4858
908 DuPont Rd
Louisville, KY 40207
Phone (502) 559-1855
5100 Outer Loop
Louisville, KY 40219
Phone (502) 968-6226
100 E Liberty St
Ste 800
Louisville, KY 40202
Phone (502) 540-3339
Interoperability endpoints
- tbuchanan67736@baptisthealthaldirect.org
Organizations & group practices 7
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.
-
- Orthopaedic Surgery Physician
- Huntsville, AL
- NPI 1376220822
-
- Health Service Clinic/Center
- Winfield, AL
- NPI 1265496236
-
- Urgent Care Clinic/Center
- Homewood, AL
- NPI 1346605821
-
- Orthopaedic Surgery Physician
- Huntsville, AL
- NPI 1205880291
-
- Specialist
- Talladega, AL
- NPI 1669436721
-
- Family Medicine Physician
- Lincoln, AL
- NPI 1770547804
-
- Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
- Louisville, KY
- NPI 1952870479
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Huntsville, AL
- NPI 1447221056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568678400000",
"number": "1245609106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E LIBERTY ST",
"address_2": "SUITE 800",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021434",
"telephone_number": "502-749-7909",
"fax_number": "502-749-9397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5295 PRESERVE PKWY STE 260",
"city": "HOOVER",
"state": "AL",
"postal_code": "352444703",
"telephone_number": "205-380-9761",
"fax_number": "205-380-1957"
}
],
"practiceLocations": [
{
"address_1": "908 DuPont Rd",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402074602",
"country_code": "US",
"telephone_number": "502-749-7909",
"fax_number": "502-749-9397",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUCHANAN",
"first_name": "TRAVIS",
"middle_name": "J",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-22",
"last_updated": "2019-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "PA2102",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AL",
"license": "1080",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100422800",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hoover, AL
- Tiara Brumberg, COTA/L
- Bruno'S Supermarkets, LLC.
- Bruno'S Supermarkets, LLC.
- Bruno'S Supermarkets, LLC.
- Japonica Monet Bryant
- Lajuana H Buchina, RPT
- Luther Graham Bufford, LPC, NCC, BC-TMH
- Build Physical Therapy and Performance LLC
- Maria Paula Buitrago Diaz, RD
- Bullock Preventive and Family Medicine, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.
- 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.