Individual provider Active NPI

Marshall Brian Plotka, MD

  • Emergency Medicine Physician
  • Huntsville, AL
National Provider Identifier
1821059288
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
AL10607 Issued in AL
Practice address
7105B Bailey Creek Cir SE
Huntsville, AL 35802-2797
Phone
(256) 882-7469
Fax
(256) 425-0046
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X AL10607 AL Primary

Addresses

Primary practice location

7105B Bailey Creek Cir SE
Huntsville, AL 35802-2797

Mailing address

7105B Bailey Creek Cir SE
Huntsville, AL 35802-2797
Phone (256) 882-7469

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
000000000ALMDEmergency Medicine Physician
AL10607ALMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Medical Partners, LLC PastSince Dec 1, 2020 Accepting new patients
Keith Van Meter & Associates Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407974400000",
    "number": "1821059288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7105B BAILEY CREEK CIR SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358022797",
            "telephone_number": "256-882-7469",
            "fax_number": "256-425-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7105B BAILEY CREEK CIR SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358022797",
            "telephone_number": "256-882-7469",
            "fax_number": "256-425-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOTKA",
        "first_name": "MARSHALL",
        "middle_name": "BRIAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2014-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "AL10607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.