Abdulrahman Bader, M.D.
Individual provider Active NPI Pediatrics Physician · Mobile, AL
NPI 1891543575 · NPPES record last updated Nov 22, 2024
Key facts
- NPI
- 1891543575
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- L6432R (AL)
- Practice address
- 2451 University Hospital
Dr. RM 714
Mobile, AL 36617 - Phone
- (251) 471-7117
- NPI assigned
- May 8, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250113001454 | AL | Order and Referring Only - Pediatric Medicine |
9739617168 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6432 | AL | MD | General Practice Dentistry |
| L6432R | AL | MD | Pediatrics Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | L6432R | AL | Yes |
Addresses
Primary practice location
2451 University Hospital
Dr. RM 714
Mobile, AL 36617
Mailing address
2451 University Hospital
Dr. RM 714
Mobile, AL 36617
Phone (251) 471-7117
Other providers in Mobile, AL
- Richard Thomas Babb
- Alan Jackson Babcock
- Christy Babin
- Maha Saad Adam Babker
- Michael Babston
- Natalie Danielle Badon
- Jongin Julia Baek
- Ashley Baggett
- Josye Laloni Baggett
- Lauren Nicole Baggett
All providers in Mobile, AL · Pediatrics Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.