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BRUCE A PETITT M.D. P.C. NPI 1013077205


NPI Information

NPI: 1013077205
Provider Name: BRUCE A PETITT M.D. P.C.

Doing Business As: WEST ALABAMA PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
1060 FAIRFAX PARK
SUITE C
TUSCALOOSA, AL
ZIP 35406
Phone: (205) 752-7337
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BRUCE A PETITT M.D. P.C. is a pediatrics in Tuscaloosa, AL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. BRUCE A PETITT M.D. P.C. NPI is 1013077205. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As West Alabama Pediatrics.

The provider's business location address is:

1060 FAIRFAX PARK
SUITE C
TUSCALOOSA, AL
ZIP 35406-806
Phone: (205) 752-7337
Fax: (205) 752-8013

The provider's authorized official is Bruce A Petitt .
The authorized official title is Physician Owner and has the following contact phone number (205) 752-7337.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 12/14/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1104775MEDICAIDALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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