Active NPI
Bruce Pava, MD
- Emergency Medicine Physician
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 00007584
- Practice address
- 860 Montclair Rd
Ste 156
Birmingham, AL 35213-1923 - Phone
- (205) 599-3990
- Fax
- (205) 599-3901
- NPI assigned
- Sep 19, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 00007584 | AL | Primary |
Addresses
Primary practice location
860 Montclair Rd
Ste 156
Birmingham, AL 35213-1923
Mailing address
860 Montclair Rd
Ste 156
Birmingham, AL 35213
Phone (205) 599-3990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51004885 | Other | AL | BLUE CROSS BLUE SHIELS |
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
- Internal Medicine
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
50 Medical Park Dr E
Birmingham, AL 35235-3401
Phone (205) 838-3000
52 Medical Park Dr E
Suite 317
Birmingham, AL 35235-3439
Phone (205) 599-3990
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00007584 | AL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Hospital Medicine PC | Current | Accepting new patients | |
| Eastern Hospital Medicine PC | Current | Accepting new patients | |
| Hospital Medicine Associates LLC | Current | Accepting new patients | |
| St. Vincent'S East | Past | Accepting new patients | |
| Southern Medical Group, Inc | Emergency Medicine | Past | Accepting new patients |
| 4MD2 in Patient Physician Services of Decatur LLC | Past | Accepting new patients | |
| Emcare Physician Providers, Inc. | Emergency Medicine | Past | Accepting new patients |
| Fayette Medical Center | Past | Accepting new patients |
Locations
810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456
50 Medical Park Dr E
Birmingham, AL 35235
Phone (205) 838-3000
1910 Cherokee Ave SW
Cullman, AL 35055
Phone (256) 255-0820
820 W Washington St
Eufaula, AL 36027
Phone (334) 687-5761
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Birmingham, AL
- NPI 1104859123
-
- Internal Medicine Physician
- Birmingham, AL
- NPI 1982418141
-
- Contractor
- Decatur, AL
- NPI 1134273345
-
- Emergency Medicine Physician
- Opp, AL
- NPI 1356391353
-
- General Acute Care Hospital
- Fayette, AL
- NPI 1851323836
-
- Emergency Medicine Physician
- Birmingham, AL
- NPI 1194736009
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1841308020
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1023061405
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1841308020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208131200000",
"number": "1821083569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 MONTCLAIR RD",
"address_2": "STE 156",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35213",
"telephone_number": "205-599-3990",
"fax_number": "205-599-3901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 MONTCLAIR RD",
"address_2": "STE 156",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352131923",
"telephone_number": "205-599-3990",
"fax_number": "205-599-3901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAVA",
"first_name": "BRUCE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-19",
"last_updated": "2008-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AL",
"license": "00007584",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELS",
"identifier": "51004885",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.