Individual provider Active NPI

Bruce A. Tucker, M.D.

  • Infectious Disease Physician
  • Birmingham, AL
National Provider Identifier
1982648622
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
00007022 Issued in AL
Practice address
832 Princeton Ave SW
Birmingham, AL 35211-1323
Phone
(205) 206-8460
Fax
(205) 206-8380
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 00007022 AL
Infectious Disease Physician 207RI0200X 00007022 AL Primary

Addresses

Primary practice location

832 Princeton Ave SW
Birmingham, AL 35211-1323

Mailing address

PO Box 12366
Birmingham, AL 35202-2366
Phone (205) 780-7101

Other identifiers 2

IdentifierTypeStateIssuer
000002566MedicaidAL
510-02566OtherALBCBS OF AL

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
I20100915000025 AL Practitioner - Infectious DiseasePractitioner - Internal Medicine 1759406770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
University of Miami, LM Miller School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro Infectious Disease Consultants LLCGroup PAC ID 3072425784, 386 clinicians

Practice addresses (Care Compare)

4704 Cahaba River Rd
Suite 101 D
Birmingham, AL 35243-2344
Phone (888) 220-6432

Hospital & facility affiliations

  • Grandview Medical Center Hospital, Birmingham, AL, CCN 010104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00007022ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Infectious Disease Consultants, LLC Infectious Disease CurrentSince Dec 20, 2023 Accepting new patients
Metro Infectious Disease Consultants LLC Infectious Disease CurrentSince Dec 20, 2023 Accepting new patients
Metro Infectious Disease Consultants, LLC Infectious Disease Past Accepting new patients

Locations

4704 Cahaba River Rd
Ste 101D
Birmingham, AL 35243
Phone (205) 739-2266

1930 Edwards Lake Rd
Ste 110
Birmingham, AL 35235

4704 Cahaba River Rd
Ste D
Birmingham, AL 35243
Phone (205) 739-2266

1102 Monroe St SW
Huntsville, AL 35801
Phone (256) 469-7200

1647 McFarland Blvd N
Ste 1A
Tuscaloosa, AL 35406
Phone (205) 349-3044

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

Networks

  • bcbs alabama network 01G0
  • bcbs alabama network 01H0
  • bcbs alabama network 01A0
  • bcbs alabama network 01E0
  • bcbs alabama network 01I0
  • bcbs alabama network 01B0

Organizations & group practices 3

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 1

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1982648622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12366",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352022366",
            "telephone_number": "205-780-7101",
            "fax_number": "205-206-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 PRINCETON AVE SW",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111323",
            "telephone_number": "205-206-8460",
            "fax_number": "205-206-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "BRUCE",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "00007022",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "AL",
            "license": "00007022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000002566",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS  OF AL",
            "identifier": "510-02566",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.