Organization Active NPI

Pediatric & Adult Asthma and Allergy, P.C

  • Specialist
  • Birmingham, AL
National Provider Identifier
1841399342
Registry record updated Aug 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PEDIATRIC & ADULT ASTHMA AND ALLERGY, P.C
Practice address
2908 Central Ave
Suite 100
Birmingham, AL 35209-2506
Phone
(205) 933-5599
Fax
(205) 930-2611
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2015

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

Authorized official

Name
Dr. Joseph Bruno Larussa, M.D.NPI 1588762165
Title
President
Phone
(205) 933-5599

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2908 Central Ave
Suite 100
Birmingham, AL 35209-2506

Mailing address

2908 Central Ave
Suite 100
Birmingham, AL 35209-2506
Phone (205) 933-5599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091216000365 AL Part B Supplier - Clinic/Group Practice 5496895831 Receives reassigned benefits from 1 practitioner
Practice locations: Homewood, AL

National Provider Directory

National Provider Directory

Locations

2908 Central Ave
Ste 100
Homewood, AL 35209
Phone (205) 933-5599

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439856000000",
    "number": "1841399342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 CENTRAL AVE",
            "address_2": "SUITE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352092506",
            "telephone_number": "205-933-5599",
            "fax_number": "205-930-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 CENTRAL AVE",
            "address_2": "SUITE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352092506",
            "telephone_number": "205-933-5599",
            "fax_number": "205-930-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC & ADULT ASTHMA AND ALLERGY, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2015-08-18",
        "status": "A",
        "authorized_official_last_name": "LARUSSA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "BRUNO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-933-5599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.