Active NPI
George R Duquette, M.D., F.A.C.S
- Specialist
- Birmingham, AL
National Provider Identifier
1386612729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 10194
- Practice address
- 2022 Brookwood Medical Ctr Dr
Birmingham, AL 35209-6808 - Phone
- (205) 877-2918
- Fax
- (205) 877-2181
- NPI assigned
- Mar 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 10194 | AL | Primary |
Addresses
Primary practice location
2022 Brookwood Medical Ctr Dr
Birmingham, AL 35209-6808
Mailing address
1990 Shades Crest Rd
Birmingham, AL 35216-1414
Phone (205) 822-7009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10679 | Other | AL | BC/BS PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10194 | AL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267660800000",
"number": "1386612729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1990 SHADES CREST RD",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352161414",
"telephone_number": "205-822-7009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2022 BROOKWOOD MEDICAL CTR DR",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352096808",
"telephone_number": "205-877-2918",
"fax_number": "205-877-2181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUQUETTE",
"first_name": "GEORGE",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D., F.A.C.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-10",
"last_updated": "2010-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AL",
"license": "10194",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS PROVIDER #",
"identifier": "10679",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.