Travis Paul MD PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

TRAVIS PAUL MD PC

Practice address

2002 Hand Ave
Bay Minette, AL 36507

Phone

(251) 580-1760

Fax

(251) 580-4189

NPI assigned

Jul 10, 2006

Last updated

Nov 8, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Grover Travis Paul, MD FACSNPI 1538199161

Title

Physician Owner

Phone

(251) 580-4243

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Grover Travis Paul, MD FACS

  • Surgery Physician
  • Bay Minette, AL
  • NPI 1538199161
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1861426454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1405",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365071405",
            "telephone_number": "251-580-4243",
            "fax_number": "251-580-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 HAND AVE",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "36507",
            "telephone_number": "251-580-1760",
            "fax_number": "251-580-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVIS PAUL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "GROVER",
        "authorized_official_middle_name": "TRAVIS",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "251-580-4243",
        "authorized_official_credential": "MD FACS"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL BAY MINETTE LOCATION",
            "identifier": "51003894",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL ATMORE LOCATION",
            "identifier": "51106179",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Bay Minette, AL
• Providers in Bay Minette, AL by specialty
• Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.