Active NPI
Brad A Bawcom, MD
- Anesthesiology Physician
- Huntsville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME113393
- Practice address
- 101 Sivley Rd SW
Huntsville, AL 35801-4421 - Phone
- (256) 265-1000
- NPI assigned
- Jun 16, 2008
- Last updated
- Aug 5, 2020
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Anesthesiology Physician | 207L00000X | ME113393 | FL | Primary |
Addresses
Primary practice location
101 Sivley Rd SW
Huntsville, AL 35801-4421
Mailing address
1613 N. Harrison Parkway
Suite 200, Mailstop SH-9a
Sunrise, FL 33323-2896
Phone (954) 838-2371
Other practice location 1
245 Governors Dr SE
Huntsville, AL 35801-2700
Phone (256) 539-9471
Other practice location 2
8375 Highway 72 W
Madison, AL 35758-9573
Phone (256) 539-9471
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Tulane University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Sivley Rd SW
Huntsville, AL 35801-4421
Phone (256) 265-8120
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physynergy, LLC | Anesthesiology | Current | Accepting new patients |
| Physynergy, LLC | Anesthesiology | Current | Accepting new patients |
| Comprehensive Anesthesia Services PC | Anesthesiology | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Alabama-TCS Inc | Anesthesiology | Current | Accepting new patients |
| Physynergy, LLC | Anesthesiology | Current | Accepting new patients |
Locations
200 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-3150
1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 429-4000
101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870
2006 Franklin St SE
Ste 301
Huntsville, AL 35801
Phone (256) 539-9471
245 Governors Dr SE
Huntsville, AL 35801
Phone (256) 265-7673
709 Ward Ave NE
Huntsville, AL 35801
Phone (256) 539-9471
460 Lanier Rd
Ste 100
Madison, AL 35758
Phone (256) 319-9000
8375 Highway 72 W
Madison, AL 35758
Phone (256) 265-2012
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Huntsville, AL
- NPI 1194704742
-
- Anesthesiology Physician
- Huntsville, AL
- NPI 1134465560
-
- Anesthesiology Physician
- Brentwood, TN
- NPI 1750989877
AL
-
- Anesthesiology Physician
- Mobile, AL
- NPI 1093173502
-
- Anesthesiology Physician
- Huntsville, AL
- NPI 1780060079
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Huntsville Hospital
- 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": "1213574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596585600000",
"number": "1285894923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1613 N. HARRISON PARKWAY",
"address_2": "SUITE 200, MAILSTOP SH-9A",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333232896",
"telephone_number": "954-838-2371",
"fax_number": "954-851-1746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 SIVLEY RD SW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358014421",
"telephone_number": "256-265-1000"
}
],
"practiceLocations": [
{
"address_1": "245 Governors Dr SE",
"address_purpose": "LOCATION",
"city": "Huntsville",
"state": "AL",
"postal_code": "358012700",
"country_code": "US",
"telephone_number": "256-539-9471",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8375 Highway 72 W",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "AL",
"postal_code": "357589573",
"country_code": "US",
"telephone_number": "256-539-9471",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAWCOM",
"first_name": "BRAD",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-16",
"last_updated": "2020-08-05",
"certification_date": "2020-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME113393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.