Individual provider Active NPI

Bruce Shelby Eich II, MD

  • Plastic Surgery Physician
  • Birmingham, AL
National Provider Identifier
1477508091
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
17710 Issued in AL
Practice address
200 Pilot Medical Drive
Suite 100
Birmingham, AL 35235-3462
Phone
(205) 856-6155
Fax
(205) 856-9391
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 17710 AL Primary

Addresses

Primary practice location

200 Pilot Medical Drive
Suite 100
Birmingham, AL 35235-3462

Mailing address

200 Pilot Medical Drive
Suite 100
Birmingham, AL 35235-3462
Phone (205) 856-6155

Other identifiers 5

IdentifierTypeStateIssuer
43438OtherTHE OATH
009975650MedicaidAL
F78813OtherVIVA
51505077OtherBLUE CROSS
1310081OtherUNITED HEALTHCARE

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
I20060629000146 AL Practitioner - Plastic and Reconstructive Surgery 8729090444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Alabama School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 Pilot Medical Dr
Suite 100
Birmingham, AL 35235-3445

200 Pilot Medical Dr
Suite 100
Birmingham, AL 35235-3462

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision349
Removal of skin lesions660
Removal of nail tissue1-10
Removal or shaving of skin growth610
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17710ALMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eich Plastic Surgery PC Plastic Surgery CurrentSince Nov 2, 2001 Accepting new patients

Locations

200 Pilot Medical Dr
#100
Birmingham, AL 35235
Phone (205) 856-6155

Organizations & group practices 1

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263859200000",
    "number": "1477508091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PILOT MEDICAL DRIVE",
            "address_2": "SUITE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353462",
            "telephone_number": "205-856-6155",
            "fax_number": "205-856-9391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PILOT MEDICAL DRIVE",
            "address_2": "SUITE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353462",
            "telephone_number": "205-856-6155",
            "fax_number": "205-856-9391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICH",
        "first_name": "BRUCE",
        "middle_name": "SHELBY",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2010-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "AL",
            "license": "17710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE OATH",
            "identifier": "43438",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009975650",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIVA",
            "identifier": "F78813",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51505077",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1310081",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.