RICARDO BRACER (NPI# 1043215239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043215239 |
Entity Type | Individual |
Full Name | RICARDO BRACER |
Credential | MD |
Practice Address |
701 Princeton Ave Sw Birmingham AL 35211-1303 |
Mailing Address |
2000a Southbridge Pkwy Ste 300 Birmingham AL 35209-7718 |
Practice Telephone | 2058686209 |
Mailing Telephone | 2058714274 |
Mailing Fax Number | 2058714301 |
Enumeration Date | 2005-06-15 |
Last Update Date | 2015-12-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
20038 | AL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | BLUE CROSS | 051540900 | 01 |
AL | BLUE CROSS | 515-94558 | 01 |
AL | 051519029 | 05 | |
AL | BLUE CROSS | 051539415 | 01 |
AL | 009988265 | 05 | |
AL | 168711 | 05 | |
AL | BLUE CROSS | 511-56293 | 01 |
AL | BLUE CROSS | 051519029 | 01 |
AL | BLUE CROSS | 051526314 | 01 |
AL | 105590 | 05 | |
AL | 122588 | 05 | |
AL | 009941714 | 05 | |
AL | 009942009 | 05 | |
AL | BLUE CROSS | 511-09716 | 01 |
Street Address |
701 PRINCETON AVE SW |
City | BIRMINGHAM |
State | AL |
Zip Code | 35211-1303 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750980611 | Rebecca Gander | Nurse Practitioner | 701 Princeton Ave Sw, Birmingham, AL 35211-1303 | 2020-10-21 |
1649879552 | Sarah Morgan Mcdaniel | Physician Assistant | 701 Princeton Ave Sw, Birmingham, AL 35211-1303 | 2020-10-21 |
1942816228 | Morgan-elizabeth Lousie Coleman | Registered Nurse | 701 Princeton Ave Sw, Birmingham, AL 35211-1303 | 2020-09-22 |
1750996823 | Mary Curtis Estis | Registered Nurse | 701 Princeton Ave Sw, Birmingham, AL 35211-1303 | 2020-09-15 |
1396353280 | Anesthesiologists Associated PC | Anesthesiology | 701 Princeton Ave Sw, Birmingham, AL 35211-1303 | 2020-07-17 |
1780202176 | Taylor Nix | Nurse Anesthetist, Certified Registered | 701 Princeton Ave Sw, Birmingham, AL 35211-1303 | 2020-07-11 |
1952928814 | Ashley Hicks | Occupational Therapist | 701 Princeton Ave Sw, Birmingham, AL 35211-1303 | 2020-06-26 |
1437771409 | Jami Lyn Gay Smith | Nurse Anesthetist, Certified Registered | 701 Princeton Ave Sw, Birmingham, AL 35211-1303 | 2020-05-13 |
1497374995 | Maria Elizabeth Hatcher | Registered Nurse | 701 Princeton Ave Sw, Birmingham, AL 35211-1303 | 2020-04-14 |
1225666324 | Faith Mixon Boone | Physician Assistant | 701 Princeton Ave Sw, Birmingham, AL 35211-1303 | 2020-04-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982216123 | Tara Brown | Technician | 2007 Goldwire Trce, Birmington, AL 35211 | 2020-08-19 |
1477173318 | Jeffrey D. Cooney | Student in an Organized Health Care Education/Training Program | 833 Princeton Avenue Sw, Professional Office Bldg 3, Suite 200-e, Birmingham, AL 35211 | 2020-04-21 |
1982253852 | Josephine Cook | Technician | 1255 18th St Sw, Birmingham, AL 35211 | 2019-09-04 |
1154882322 | Stephen Jenkins | Registered Nurse | 701 Princeton Ave. Sw, Birmingham, AL 35211 | 2019-03-28 |
1780107052 | Negar Massah | Dentist | 2850 Venice Rd, Apt 1135, Birmingham, AL 35211 | 2017-07-19 |
1417075342 | Joseph Edward Mcjunkin | Pharmacist | 1308-tuscaloosa Ave.sw, Birmingham, AL 35211 | 2007-03-27 |
1669500880 | Prakash Chand Kansal | Internal Medicine | 801 Princeton Avenue, Pob 1, Suite 332., Birmingham, AL 35211 | 2007-03-01 |
1588717284 | Laquinta Johnson | Occupational Therapist | 420 10th St Sw, Birmingham, AL 35211 | 2007-01-18 |
1174613160 | Praveen Jetty | Psychiatry & Neurology | 401 Tuscaloosa Ave. S.w., Suite 110, Birmingham, AL 35211 | 2006-10-13 |
1326134180 | Yahya M Sabri | Obstetrics & Gynecology | 801 Princton Ave, Prof Office Bldg I Suite 332, Birmingham, AL 35211 | 2006-10-05 |
Find all providers in zip 35211 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497241756 | Anurag Chahal | Radiology | Department of Radiology 619 19th Street South, Birmingham, AL 35249-0001 | 2018-07-10 |
1346782307 | Birmingham Physicians Radiology Pllc | Radiology | 3425 Colonnade Pkwy, Birmingham, AL 35243-2356 | 2016-11-08 |
1194111245 | Darrel Alexander Ceballos | Radiology | 619 19th Street South Jt N382, Birmingham, AL 35294-2238 | 2015-04-15 |
1356754956 | Brandon Phillips | Radiology | 619 19th St S Dept Of, Birmingham, AL 35233-1900 | 2014-06-11 |
1306258751 | Benjamin Ross Snead | Radiology | 3690 Grandview Pkwy Dept Of, Birmingham, AL 35243-3326 | 2014-05-20 |
1538586433 | David Breland | Radiology | 2204 Lakeshore Dr Ste 140, Birmingham, AL 35209-6741 | 2014-03-28 |
1649603267 | Dane David Hellwig | Radiology | 1211 Concord Ave, Birmingham, AL 35213-2120 | 2013-08-19 |
1982982047 | Bradley James Cherenzia | Radiology | 655 Chester St, Birmingham, MI 48009-1436 | 2011-07-23 |
1891088670 | George R Newman | Radiology | 341 Kingston Cir, Birmingham, AL 35211-6982 | 2011-05-26 |
1518250067 | Chandler Hargrove Smith | Radiology | 368 Vesclub Drive, Birmingham, AL 35216 | 2011-05-17 |
Find all providers in BIRMINGHAM |
City | BIRMINGHAM |
Zip Code | 35211 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.