| Suresh B Boppana, MD | |
|
1600 7th Ave S, Birmingham, AL 35233-1711 | |
| (205) 939-9587 | |
| (205) 975-4623 |
| Full Name | Suresh B Boppana |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1600 7th Ave S, Birmingham, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265429419 | NPI | - | NPPES |
| 009912612 | Medicaid | AL | |
| 009930750 | Medicaid | AL | |
| 4461381 | Other | AL | AETNA |
| 510-95531 | Other | AL | BCBS |
| 1265429419 | Other | AL | TRICARE SOUTH |
| 000088303 | Medicaid | AL | |
| 510-88303 | Other | AL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD.15386 (Alabama) | Secondary |
| 208000000X | Pediatrics | MD.15386 (Alabama) | Primary |
| Entity Name | University Of Alabama Health Services Foundation, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093768723 PECOS PAC ID: 1951213107 Enrollment ID: O20031105000261 |
| Mailing Address | Practice Location Address |
|---|---|
| Suresh B Boppana, MD 703 Volker Hl, Birmingham, AL 35294-0001 Ph: (205) 934-3795 | Suresh B Boppana, MD 1600 7th Ave S, Birmingham, AL 35233-1711 Ph: (205) 939-9587 |
Robert Patrick Richter, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 7th Ave S, Birmingham, AL 35233 Phone: 205-638-9100 | |
Dr. Mary Orr, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 7th Ave S, Birmingham, AL 35233 Phone: 205-638-9100 Fax: 205-934-7273 | |
Roger Dean Bruce, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2660 10th Ave S, Suite 636, Birmingham, AL 35205 Phone: 205-930-2220 Fax: 205-930-2223 | |
Stephanie Berger, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 7th Ave S, Mcwane Building Suite 108, Birmingham, AL 35233 Phone: 205-638-2904 | |
Jaime Dion Mckinney, Pediatrics Medicare: Medicare Enrolled Practice Location: 703 Volker Hl, Birmingham, AL 35294 Phone: 205-934-3795 | |
Worth Littlejohn Barbour, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 619 19th St S, Birmingham, AL 35249 Phone: 205-939-9587 | |
Timothy Todd Fleenor, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 619 19th St S, Birmingham, AL 35249 Phone: 205-934-5004 |