Individual provider Active NPI

Bruce Pava, MD

  • Emergency Medicine Physician
  • Birmingham, AL
National Provider Identifier
1821083569
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
00007584 Issued in AL
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

Updated by the provider on Apr 14, 2008

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 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

IdentifierTypeStateIssuer
51004885OtherALBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040728001597 AL Practitioner - Internal Medicine 1153391917 Reassigns benefits to 2 organizations
Practice locations: Birmingham, AL

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
Hospital Medicine Associates LLCGroup PAC ID 9234156985, 208 clinicians

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

LicenseStateTypeSpecialty
00007584ALMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Hospital Medicine PC CurrentSince Jan 1, 2022 Accepting new patients
Eastern Hospital Medicine PC CurrentSince Jan 1, 2022 Accepting new patients
Hospital Medicine Associates LLC CurrentSince Nov 9, 2018 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.