| Mr Bruce Sheldon Trippe, MD | |
| 210 Westside Drive, Dothan, AL 36303 | |
| (334) 793-5074 | |
| (334) 793-6460 | 
| Full Name | Mr Bruce Sheldon Trippe | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism | 
| Location | 210 Westside Drive, Dothan, Alabama | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1700936200 | NPI | - | NPPES | 
| 000046410 | Medicaid | AL | |
| 51046410 | Other | AL | BLUE CROSS | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 7167 (Alabama) | Primary | 
| Entity Name | Health Services Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1598788218 PECOS PAC ID: 1557324811 Enrollment ID: O20041201000952 | 
| Entity Name | Wiregrass Clinic Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1558657890 PECOS PAC ID: 2860662491 Enrollment ID: O20110908002136 | 
| Entity Name | Doctors Making Home Visits 1st Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1750906921 PECOS PAC ID: 8628487006 Enrollment ID: O20210514002428 | 
| Entity Name | Skye Health Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1104578434 PECOS PAC ID: 6103208582 Enrollment ID: O20220802000182 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Bruce Sheldon Trippe, MD 210 Westside Drive, Dothan, AL 36303 Ph: (334) 793-5074 | Mr Bruce Sheldon Trippe, MD 210 Westside Drive, Dothan, AL 36303 Ph: (334) 793-5074 | 
| Parks Winfield Pratt Iii, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 4300 W Main St, Suite 102, Dothan, AL 36305 Phone: 334-793-9564 Fax: 334-671-8907 | |
| Mr. Rodney K Beauchamp, M.D. Endocrinology, Diabetes & Metabolism Medicare: Not Enrolled in Medicare Practice Location: 200 Parkwest Cir Ste 2, Dothan, AL 36303 Phone: 334-699-2004 | |
| Brian Reynolds Sinclair, MD Endocrinology, Diabetes & Metabolism Medicare: Not Enrolled in Medicare Practice Location: 1450 Ross Clark Cir Ste 400, Dothan, AL 36301 Phone: 334-305-0400 Fax: 334-305-0401 | |
| Dr. Olawale Mayokun Osunsanya, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 1763 E Main St, Dothan, AL 36301 Phone: 334-793-3319 Fax: 334-793-2291 | |
| Nikki Ilona Broussard, CRNP Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 207 Haven Dr, Dothan, AL 36301 Phone: 337-793-3319 | |
| Jeffrey John Crittenden, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 480 Honeysuckle Rd, Dothan, AL 36305 Phone: 334-836-1212 Fax: 334-836-1888 | |
| Dr. Venkat R Nimmagadda, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 207 Haven Dr, Dothan, AL 36301 Phone: 334-793-3319 Fax: 334-793-2291 |