Active NPI
William G Kuczerpa, MD
- Pulmonary Disease Physician
- Boaz, AL
National Provider Identifier
1730170978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 22236
- Practice address
- 2525 US Hwy 431
Ste. 210
Boaz, AL 35957-5967 - Phone
- (256) 840-4653
- Fax
- (256) 840-3182
- NPI assigned
- Nov 4, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | 00022236 | AL | |
| Pulmonary Disease Physician | 207RP1001X | 22236 | AL | Primary |
Addresses
Primary practice location
2525 US Hwy 431
Ste. 210
Boaz, AL 35957-5967
Mailing address
2525 US Hwy 431
Ste. 210
Boaz, AL 35957-5967
Phone (256) 840-4653
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51513931 | Other | AL | BCBS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 00022236 | AL | MD | Legal Medicine |
| 22236 | AL | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Specialists of N Al, PC | Past | Accepting new patients | |
| Anniston Careplus, LLC | Past | Accepting new patients | |
| Allervie Health Professional Corporation | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- williamkuczerpa@dcmmmc.allscriptsdirect.net
Organizations & group practices 3
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.
-
- Allergy & Immunology Physician
- Birmingham, AL
- NPI 1780629535
-
- Family Medicine Physician
- Anniston, AL
- NPI 1295275139
-
- Clinic/Center
- Guntersville, AL
- NPI 1407801301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391126400000",
"number": "1730170978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 US HWY 431",
"address_2": "STE. 210",
"city": "BOAZ",
"state": "AL",
"postal_code": "359575967",
"telephone_number": "256-840-4653",
"fax_number": "256-840-3182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 US HWY 431",
"address_2": "STE. 210",
"city": "BOAZ",
"state": "AL",
"postal_code": "359575967",
"telephone_number": "256-840-4653",
"fax_number": "256-840-3182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUCZERPA",
"first_name": "WILLIAM",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-04",
"last_updated": "2014-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "AL",
"license": "00022236",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "AL",
"license": "22236",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "51513931",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boaz, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.