Eich Plastic Surgery PC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

17710 Issued in AL

Legal business name

EICH PLASTIC SURGERY PC

Practice address

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

Phone

(205) 856-6155

Fax

(205) 856-9391

NPI assigned

Oct 24, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Bruce Shelby Eich II, MDNPI 1477508091

Title

President

Phone

(205) 856-6155

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bruce Shelby Eich II, MD

  • Plastic Surgery Physician
  • Birmingham, AL
  • NPI 1477508091
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263859200000",
    "number": "1508856352",
    "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": {
        "organization_name": "EICH PLASTIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-24",
        "last_updated": "2010-01-19",
        "status": "A",
        "authorized_official_last_name": "EICH",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "SHELBY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-856-6155",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "AL",
            "license": "17710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "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": "THE OATH",
            "identifier": "43438",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "51505077",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "1310081",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sydney Egenes
• Elizabeth Paige Ehrhardt, DPT
• Marie Louise Tucker Ehrhardt, MD, MPH
• Matthew Jordan Ehrlich, M.D.
• Ehtsham Haq
• Bruce Shelby Eich II, MD
• Lisa Eich, DMD
• Robert Pittman Eichelberger, M.D.
• Justin Michael Eichinger, MS
• Christopher A Eidson, OTR

• Plastic Surgery Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Plastic Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.