MR. ETHAN TYLER DUNGAN
NPI 1255994588
Nurse Practitioner - Acute Care in Birmingham, AL
About Mr. Ethan Tyler Dungan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. ETHAN TYLER DUNGAN (NPI 1255994588) is an individual acute care provider in Birmingham, Alabama, licensed in Alabama (1-149801) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Ethan Tyler Dungan is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 35233 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BIRMINGHAM, AL 35233
BIRMINGHAM, AL 35233
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ethan Dungan's NPI number?
The NPI number for Ethan Dungan is 1255994588. It was assigned to this individual provider in the NPPES registry on April 22, 2019.
Where is Ethan Dungan located?
Ethan Dungan practices at 1802 6th Ave S, Birmingham, AL 35233. The listed phone number is (205) 996-5111.
What is Ethan Dungan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Ethan Dungan enrolled in Medicare?
Yes. Ethan Dungan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Ethan Dungan accept?
Health plans from Blue Cross and Blue Shield of Alabama list Ethan Dungan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ethan Dungan was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Ethan Tyler Dungan · NPI 1255994588
Acute Care physician in Birmingham, Alabama. Individual provider, active in the CMS NPPES registry since April 22, 2019.
## Identity
- **NPI:** 1255994588 (Entity type: Individual)
- **Enumerated:** April 22, 2019
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 1-149801 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 1802 6TH AVE S, Birmingham, AL 35233-1932
- **Phone:** (205) 996-5111
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** June 29, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1255994588) · Data from the CMS NPPES public registry.