Individual provider Active NPI

Travis J Buchanan, PA-C

  • Physician Assistant
  • Hoover, AL
National Provider Identifier
1245609106
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2102 Issued in KY
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

Updated by the provider on Sep 17, 2019

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 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

IdentifierTypeStateIssuer
7100422800MedicaidKY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190827000964 AL Practitioner - Physician Assistant 1759669542 Reassigns benefits to 4 organizations

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
HH Health System - the Orthopaedic Center LLCGroup PAC ID 0547624843, 172 clinicians

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

LicenseStateTypeSpecialty
1080ALMDOrthopedic Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Komg-Louisville Region Inc. CurrentSince Jan 1, 2019 Accepting new patients
Baptist Health Centers, LLC CurrentSince Sep 13, 2019 Accepting new patients
Baptist Health Centers LLC CurrentSince Sep 13, 2019 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Sources for this page

Verify at the official NPI Registry.