Individual provider Active NPI

Hilda Bernice Craze, MD

  • Family Medicine Physician
  • Scottsboro, AL
National Provider Identifier
1396788170
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12795 Issued in AL
Practice address
70 Freedom LN
Scottsboro, AL 35769-3763
Phone
(256) 574-5508
Fax
(256) 259-2727
NPI assigned
Jun 13, 2006
Last updated
Jul 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12795 AL Primary

Addresses

Primary practice location

70 Freedom LN
Scottsboro, AL 35769-3763

Mailing address

309 Taylor St
Scottsboro, AL 35768-2421
Phone (256) 259-5313

Other practice location 1

13624 County Road 8
Woodville, AL 35776-6162
Phone (256) 776-5615

Other practice location 2

21680 Al Highway 79
Scottsboro, AL 35768-5904
Phone (256) 587-3050

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101006000901 AL Practitioner - Family Practice 0143288993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

70 Freedom LN
Scottsboro, AL 35769-3763
Phone (256) 574-5508

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12795ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Alabama Health Services, Inc. CurrentSince Jul 2, 2023 Accepting new patients
Grant Family Medicine, LLC CurrentSince Apr 22, 2002 Accepting new patients
Northeast Alabama Health Services, Inc. CurrentSince Jul 2, 2023 Accepting new patients
Northeast Alabama Health Services, Inc Current Accepting new patients

Locations

4500 Main St
Grant, AL 35747
Phone (256) 728-2600

21680 AL Highway 79
Scottsboro, AL 35768
Phone (256) 587-3050

309 Taylor St
Scottsboro, AL 35768
Phone (256) 259-5313

70 Freedom Ln
Scottsboro, AL 35769
Phone (256) 574-5508

60 Main St N
Section, AL 35771
Phone (256) 228-3471

13624 County Road 8
Woodville, AL 35776
Phone (256) 776-5615

Interoperability endpoints

  • Direct secure messaging: hilda.craze.premierfamilycarearab@pfca.direct.systemedx.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1396788170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 TAYLOR ST",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682421",
            "telephone_number": "256-259-5313",
            "fax_number": "256-259-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 FREEDOM LN",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357693763",
            "telephone_number": "256-574-5508",
            "fax_number": "256-259-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13624 County Road 8",
            "address_purpose": "LOCATION",
            "city": "Woodville",
            "state": "AL",
            "postal_code": "357766162",
            "country_code": "US",
            "telephone_number": "256-776-5615",
            "fax_number": "256-776-5617",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21680 Al Highway 79",
            "address_purpose": "LOCATION",
            "city": "Scottsboro",
            "state": "AL",
            "postal_code": "357685904",
            "country_code": "US",
            "telephone_number": "256-587-3050",
            "fax_number": "256-587-3508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAZE",
        "first_name": "HILDA",
        "middle_name": "BERNICE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "12795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsboro, AL

Sources for this page

Verify at the official NPI Registry.