Individual provider Active NPI

Billy M Buckner, MD

  • Internal Medicine Physician
  • Birmingham, AL
National Provider Identifier
1699756973
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
13367 Issued in AL
Practice address
4600 Highway 280 Ste 100
Birmingham, AL 35242-5185
Phone
(205) 408-1231
Fax
(205) 408-1229
NPI assigned
Nov 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD.13367 AL
Internal Medicine Physician 207R00000X 13367 AL Primary

Addresses

Primary practice location

4600 Highway 280 Ste 100
Birmingham, AL 35242-5185

Mailing address

1 W Lakeshore Dr Ste 100
Birmingham, AL 35209-7271
Phone (205) 547-3996

Other identifiers 4

IdentifierTypeStateIssuer
1699756973OtherALTRICARE SOUTH
510-61818OtherALBCBS
A14431CMedicaidAL
000061818MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.13367ALMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama at Birmingham CurrentSince Jul 1, 1991 Accepting new patients
Medhelp Shelby, LLC CurrentSince Dec 1, 2021 Accepting new patients
Med Help 280 LLC CurrentSince Dec 1, 2021 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Feb 29, 2016 Accepting new patients
University of Alabama at Birmingham Emergency Medicine CurrentSince Jul 1, 1991 Accepting new patients
University of Alabama at Birmingham Internal Medicine Current Accepting new patients

Locations

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

1806 6th Ave S
Birmingham, AL 35233
Phone (205) 939-9587

4600 Highway 280
Ste 100
Birmingham, AL 35242
Phone (205) 408-1231

4600 Highway 280
Birmingham, AL 35242
Phone (205) 408-1231

151 Narrows Pkwy
Ste 110
Birmingham, AL 35242
Phone (205) 444-9550

619 19th St S
#251
Birmingham, AL 35249
Phone (205) 975-6077

1 W Lakeshore Dr
Ste 100
Birmingham, AL 35209
Phone (205) 547-3996

1201 11th Ave S
Birmingham, AL 35205
Phone (205) 930-7100

800 Lakeshore Dr
Birmingham, AL 35229
Phone (205) 726-2011

619 19th St S
Birmingham, AL 35249

1806 6th Ave S
Irondale, AL 35210
Phone (205) 975-7389

3170 Pelham Pkwy
Pelham, AL 35124
Phone (205) 620-2270

3143 Pelham Pkwy
Pelham, AL 35124
Phone (205) 620-2270

Interoperability endpoints

  • Direct secure messaging: billy.buckner.1@17217.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1699756973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W LAKESHORE DR STE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352097271",
            "telephone_number": "205-547-3996",
            "fax_number": "205-408-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 HIGHWAY 280 STE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425185",
            "telephone_number": "205-408-1231",
            "fax_number": "205-408-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKNER",
        "first_name": "BILLY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "MD.13367",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "13367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE SOUTH",
            "identifier": "1699756973",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "510-61818",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A14431C",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000061818",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.