Active NPI
Bruce Sheldon Trippe, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Dothan, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 7167
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000046410 | Medicaid | AL | |
| 51046410 | Other | AL | BLUE 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
210 Westside Dr
Dothan, AL 36303-1928
Phone (334) 793-5074
Hospital & facility affiliations
- Flowers Hospital
- Southeast Health Medical Center
- Medical Center Enterprise
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skye Health LLC | Current | Accepting new patients | |
| Skye Consultorio Medico LLC | Current | Accepting new patients | |
| Health Services, Inc. | Current | Accepting new patients | |
| Wiregrass Clinic LLC | Current | Accepting new patients | |
| Health Services Inc | Current | Accepting new patients | |
| Health Services, Inc. | Current | 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
- 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.
-
- Neurological Surgery Physician
- Dothan, AL
- NPI 1558657890
-
- Federally Qualified Health Center (FQHC)
- Hayneville, AL
- NPI 1598788218
-
- Federally Qualified Health Center (FQHC)
- Montgomery, AL
- NPI 1184284986
-
- Federally Qualified Health Center (FQHC)
- Montgomery, AL
- NPI 1427521962
-
- Family Medicine Physician
- Dothan, AL
- NPI 1821835893
-
- Family Medicine Physician
- Montgomery, AL
- NPI 1104578434
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dothan, AL
- NPI 1164403861
-
- General Acute Care Hospital
- Enterprise, AL
- NPI 1720039712
-
- General Acute Care Hospital
- Dothan, AL
- NPI 1801830500
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.