Individual provider Active NPI

William G Kuczerpa, MD

  • Pulmonary Disease Physician
  • Boaz, AL
National Provider Identifier
1730170978
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
22236 Issued in AL
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

Updated by the provider on Jan 31, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
51513931OtherALBCBS

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

LicenseStateTypeSpecialty
00022236ALMDLegal Medicine
22236ALMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Specialists of N Al, PC Past Accepting new patients
Anniston Careplus, LLC PastSince Jul 1, 2019 Accepting new patients
Allervie Health Professional Corporation Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.