David G Bains, MD
Individual provider Active NPI Nephrology Physician · Huntsville, AL
NPI 1447419288 · NPPES record last updated Jun 11, 2013
Key facts
- NPI
- 1447419288
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- MD.32063 (AL)
- Practice address
- 2780 Bob Wallace Ave SW
Huntsville, AL 35805-4104 - Phone
- (256) 533-4626
- NPI assigned
- Jun 6, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Nephrology Consultants LLC
Practice addresses (Care Compare)
2780 Bob Wallace Ave
Hunstville, AL 35805-4104
Phone (256) 533-4626
2780 Bob Wallace Ave SW
Huntsville, AL 35805-4104
Hospital & facility affiliations
- FMC Scottsboro
- Endeavor Dialysis
- FMC Tranquility
- FMC Elk River Dialysis
- FMC Odyssey Dialysis
- Huntsville Hospital
- Lincoln Medical Center
- Highlands Medical Center
- Decatur Morgan Hospital - Decatur Campus
- Athens Limestone Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AL, TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130715000378 | AL | Practitioner - Nephrology |
5193965200 | Reassigns benefits to 1 organization |
| I20140714001808 | TN | Practitioner - Nephrology |
5193965200 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.32063 | AL | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephrology Consultants LLC | Nephrology | Current |
Accepting new patients |
Locations
2325 Pansy St SW
Ste E
Huntsville, AL 35801
Phone (256) 533-4626
2780 Bob Wallace Ave SW
Huntsville, AL 35805
Phone (256) 533-4626
2218 Thornton Taylor Pkwy
Fayetteville, TN 37334
Phone (931) 438-2399
603 Amana Ave
Fayetteville, TN 37334
Phone (931) 240-0682
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Nephrology Physician | 207RN0300X | MD.32063 | AL | Yes |
Addresses
Primary practice location
2780 Bob Wallace Ave SW
Huntsville, AL 35805-4104
Mailing address
2780 Bob Wallace Ave SW
Huntsville, AL 35805-4104
Phone (256) 533-4626
Other providers in Huntsville, AL
- Joseph Bailey
- Lisa Jean Bailey
- Pauline Bailey
- Stephanie Bailey
- Trina L. Bailey
- Tessa Blaire Bair
- Margaret Ellen Baird
- Jammie Bake
- Alison Baker
- Alyssa Breann Baker
All providers in Huntsville, AL · Nephrology Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.