Individual provider Active NPI

Oscar Baviera Lopez, M.D.

  • General Practice Physician
  • Saraland, AL
National Provider Identifier
1508084153
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
10600 Issued in AL
Practice address
1084 Industrial Pkwy
Suite B
Saraland, AL 36571-3726
Phone
(251) 675-8760
Fax
(251) 675-8100
NPI assigned
Apr 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 10600 AL Primary

Addresses

Primary practice location

1084 Industrial Pkwy
Suite B
Saraland, AL 36571-3726

Mailing address

1084 Industrial Pkwy
Suite B
Saraland, AL 36571-3726
Phone (251) 675-8760

Other identifiers 1

IdentifierTypeStateIssuer
10600OtherALSTATE LICENSE

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

LicenseStateTypeSpecialty
10600ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Mobile Medical Diagnostics General Practice Past Accepting new patients
Baptist Physician Associates LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508084153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1084 INDUSTRIAL PKWY",
            "address_2": "SUITE B",
            "city": "SARALAND",
            "state": "AL",
            "postal_code": "365713726",
            "telephone_number": "251-675-8760",
            "fax_number": "251-675-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1084 INDUSTRIAL PKWY",
            "address_2": "SUITE B",
            "city": "SARALAND",
            "state": "AL",
            "postal_code": "365713726",
            "telephone_number": "251-675-8760",
            "fax_number": "251-675-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "OSCAR",
        "middle_name": "BAVIERA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "10600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "10600",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saraland, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.