Individual provider Active NPI

Bruce Sheldon Trippe, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Dothan, AL
National Provider Identifier
1700936200
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
7167 Issued in AL
Practice address
210 Westside Drive
Dothan, AL 36303
Phone
(334) 793-5074
Fax
(334) 793-6460
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 7167 AL Primary

Addresses

Primary practice location

210 Westside Drive
Dothan, AL 36303

Mailing address

210 Westside Drive
Dothan, AL 36303
Phone (334) 793-5074

Other practice location 1

2030 Chestnut St
Montgomery, AL 36106-1111
Phone (334) 834-2940

Other identifiers 2

IdentifierTypeStateIssuer
000046410MedicaidAL
51046410OtherALBLUE CROSS

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
I20100831000751 AL Practitioner - EndocrinologyPractitioner - Pediatric Medicine 5496783144 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wiregrass Clinic LLCGroup PAC ID 2860662491, 69 clinicians

Practice addresses (Care Compare)

210 Westside Dr
Dothan, AL 36303-1928
Phone (334) 793-5074

Hospital & facility affiliations

  • Flowers Hospital Hospital, Dothan, AL, CCN 010055
  • Southeast Health Medical Center Hospital, Dothan, AL, CCN 010001
  • Medical Center Enterprise Hospital, Enterprise, AL, CCN 010049

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Skye Health LLC CurrentSince Apr 26, 2023 Accepting new patients
Skye Consultorio Medico LLC CurrentSince Jul 21, 2024 Accepting new patients
Health Services, Inc. CurrentSince Apr 1, 2020 Accepting new patients
Wiregrass Clinic LLC CurrentSince Mar 1, 2024 Accepting new patients
Health Services Inc Current Accepting new patients
Health Services, Inc. CurrentSince Apr 1, 2020 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

210 Westside Dr
Dothan, AL 36303
Phone (334) 793-5074

4300 W Main St
Ste 21
Dothan, AL 36305
Phone (334) 699-7900

4300 W Main St
Ste 41
Dothan, AL 36305
Phone (334) 794-6504

1107 N Eastern Blvd
Montgomery, AL 36117
Phone (334) 647-1444

2611 Woodley Park Dr
Montgomery, AL 36116
Phone (334) 288-0009

Interoperability endpoints

  • Direct secure messaging: bruce.trippe.1@3326.direct.athenahealth.com

Organizations & group practices 7

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 3

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1700936200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 WESTSIDE DRIVE",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "36303",
            "telephone_number": "334-793-5074",
            "fax_number": "334-793-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 WESTSIDE DRIVE",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "36303",
            "telephone_number": "334-793-5074",
            "fax_number": "334-793-6460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2030 Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361061111",
            "country_code": "US",
            "telephone_number": "334-834-2940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRIPPE",
        "first_name": "BRUCE",
        "middle_name": "SHELDON",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2024-04-08",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "AL",
            "license": "7167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000046410",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51046410",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.