DR. JOHN PRENDERGAST BUCKLEY (NPI# 1245282292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245282292 |
| Entity Type | Individual |
| Full Name | DR. JOHN PRENDERGAST BUCKLEY |
| Credential | M.D. |
| Practice Address |
305 Paul Bryant Dr E Tuscaloosa AL 35401-2094 |
| Practice Telephone | 2053450192 |
| Practice Fax Number | 2052472194 |
| Mailing Telephone | 2053450192 |
| Mailing Fax Number | 2052472194 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 6702 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 000000829 | 05 | |
| AL | BLUE CROSS BLUE SHIELD | 51517551 | 01 |
| AL | BLUE CROSS BLUE SHIELD | 51000829 | 01 |
| AL | BLUE CROSS BLUE SHIELD | 51517553 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174968721 | John Buckley | Physical Therapy Assistant | 1630 Hickory Lane, Sedalia, MO 65301 | 2013-05-08 |
| 1740408046 | John Edwin Buckley | Hearing Instrument Specialist | 1 Woodbridge Ctr Ste 211, Woodbridge, NJ 07095-1159 | 2007-04-23 |
| 1912060179 | John William Buckley Jr. | Psychiatry & Neurology | 5220 Long Green Rd, Glen Arm, MD 21057-9716 | 2006-12-19 |
| 1073673950 | John Matthew Buckley | Registered Nurse | 735 19th Ave, Lake Como, NJ 07719-2902 | 2006-12-11 |
| 1205942745 | John Edward Buckley | Internal Medicine | 51 West 84th Ave, Suite 210, Denver, CO 80260-4882 | 2006-08-21 |
| 1114918133 | John Joseph Buckley Jr. | Specialist | 935 Trailwood Dr, Boardman, OH 44512-5062 | 2005-10-31 |
| 1578006540 | John J Buckley | Physician Assistant | 123 Summer St, 7350, Worcester, MA 01608-1216 | 2016-11-23 |
| 1992121255 | John Buckley | Counselor | 3540 W Douglas Ave, Wichita, KS 67203-5455 | 2014-03-11 |
| 1275882177 | John Buckley | Social Worker | 3355 Bee Cave Rd, Suite 507, West Lake Hills, TX 78746-6775 | 2012-09-06 |
| 1841320645 | John J Buckley | Counselor | 600 Spring Hill Ring Rd, Suite 108, West Dundee, IL 60118-7300 | 2007-03-07 |
| Street Address |
305 PAUL BRYANT DR E |
| City | TUSCALOOSA |
| State | AL |
| Zip Code | 35401-2094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821040338 | William Carter Standeffer Jr. | Orthopaedic Surgery | 305 Paul Bryant Dr E, Tuscaloosa, AL 35401-2094 | 2006-05-16 |
| 1093759805 | Hugh Randall Latham | Physician Assistant | 305 Paul Bryant Dr E, Tuscaloosa, AL 35401-2094 | 2006-06-15 |
| 1629018411 | Carla R Randolph | Physician Assistant | 305 Paul Bryant Dr E, Tuscaloosa, AL 35401-2094 | 2006-06-08 |
| 1851343727 | Donald Stuart Scott | Orthopaedic Surgery | 305 Paul Bryant Dr E, Tuscaloosa, AL 35401-2094 | 2006-05-17 |
| 1922050418 | Hugh Chester Boston Jr. | Orthopaedic Surgery | 305 Paul Bryant Dr E, Tuscaloosa, AL 35401-2094 | 2006-05-16 |
| 1144272642 | Stephen Thomas Ikard | Orthopaedic Surgery | 305 Paul Bryant Dr E, Tuscaloosa, AL 35401-2094 | 2006-05-16 |
| 1710939228 | Brian Scott Claytor | Orthopaedic Surgery | 305 Paul Bryant Dr E, Tuscaloosa, AL 35401-2094 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942768031 | Serenity and Hope LLC | Clinic/Center | 2703 7th Street, Tuscaloosa, AL 35401 | 2019-03-07 |
| 1356834428 | Heather Glenn Macleod | Social Worker | 303 Hargrove Rd E Ste A, Tuscaloosa, AL 35401 | 2018-06-12 |
| 1154832921 | Imc of Alabama | Physical Therapist | 5101 21st Street, Tuscaloosa, AL 35401 | 2017-10-19 |
| 1316466238 | Parents Resource Institute for Drug Education (pride) of Tuscaloosa | Community/Behavioral Health | 620 14th Street, Suite E, Tuscaloosa, AL 35401 | 2017-09-12 |
| 1871967075 | Jeri Zemke | Specialist/Technologist | 504 University Blvd, Tuscaloosa, AL 35401 | 2015-11-25 |
| 1356719033 | Jimmy Dean Winters | Nurse Practitioner | Five Horizons Health Services, 2720 6th Street, Tuscaloosa, AL 35401 | 2015-09-11 |
| 1831505429 | Jennifer Baggett | Speech-Language Pathologist | 603 Hackberry Lane, Tuscaloosa, AL 35401 | 2014-07-03 |
| 1184045684 | Samantha Pasteur | Massage Therapist | 2601 12 St, Tuscaloosa, AL 35401 | 2013-12-31 |
| 1386089282 | John Logan Bailey | Pharmacist | 809 University Boulevard, Dch Regional Medical Center, Tuscaloosa, AL 35401 | 2013-05-06 |
| 1104170539 | Kristin C Townsend | Technician, Other | 500 -b Paul Bryant Drive East, Tuscaloosa, AL 35401 | 2012-11-07 |
| Find all providers in zip 35401 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396954749 | Kevin Thompson | Orthopaedic Surgery | 305 Paul Bryant Drive, Tuscaloosa, AL 35401-2055 | 2007-05-22 |
| 1003868977 | Leroy Scott Atkins Jr. | Orthopaedic Surgery | 305 Paul Bryant Dr, Tuscaloosa, AL 35401-2094 | 2006-05-17 |
| 1821040338 | William Carter Standeffer Jr. | Orthopaedic Surgery | 305 Paul Bryant Dr E, Tuscaloosa, AL 35401-2094 | 2006-05-16 |
| 1215101092 | Stephen Thomas Ikard Jr. | Orthopaedic Surgery | 305 Paul W Bryant Dr E, Tuscaloosa, AL 35401-2055 | 2008-04-14 |
| 1073551461 | University Orthopaedic Clinic P C | Orthopaedic Surgery | 305 Paul Bryant Dr, Tuscaloosa, AL 35401-2094 | 2006-06-04 |
| 1629025838 | William K Mckibbin | Orthopaedic Surgery | 305 Paul W Bryant Dr E, Tuscaloosa, AL 35401-2055 | 2006-05-31 |
| 1851343727 | Donald Stuart Scott | Orthopaedic Surgery | 305 Paul Bryant Dr E, Tuscaloosa, AL 35401-2094 | 2006-05-17 |
| 1922050418 | Hugh Chester Boston Jr. | Orthopaedic Surgery | 305 Paul Bryant Dr E, Tuscaloosa, AL 35401-2094 | 2006-05-16 |
| 1144272642 | Stephen Thomas Ikard | Orthopaedic Surgery | 305 Paul Bryant Dr E, Tuscaloosa, AL 35401-2094 | 2006-05-16 |
| 1710939228 | Brian Scott Claytor | Orthopaedic Surgery | 305 Paul Bryant Dr E, Tuscaloosa, AL 35401-2094 | 2006-05-16 |
| Find all providers in TUSCALOOSA | ||||
| City | TUSCALOOSA |
| Zip Code | 35401 |
Please comment or provide details below to improve the information on DR. JOHN PRENDERGAST BUCKLEY.
| 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.