Michael Jacob Bivona, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5848 Issued in AL

Practice address

1430 3Rd Ave N
Bessemer, AL 35020-5609

Phone

(205) 428-2086

NPI assigned

Jul 5, 2011

Last updated

Jul 5, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309824000000",
    "number": "1477840056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5305 10TH CT S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352224013",
            "telephone_number": "205-601-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 3RD AVE N",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350205609",
            "telephone_number": "205-428-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIVONA",
        "first_name": "MICHAEL",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-05",
        "last_updated": "2011-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Birmingham Cardiovascular Consultants, PC
• Birmingham Radiological Group, PC (Bessemer Open MRI)
• Birmingham Vamc
• Birmingport Fire District
• John Sebastian Bivona Sr., DENTIST GP DMD
• Bryce Black, DMD
• Dana Daniel Blake, PT
• Cassandra Blazich, DPT
• Bliss Wilson Family Dentistry LLC
• Shanya Blocker

• General Practice Dentistry in Bessemer, AL
• Providers in Bessemer, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.