BAMA PEDICATRICS LLC
NPI 1720137334
Pediatrics in Northport, AL

Active since January 10, 2007
920 ROSE DRIVE, NORTHPORT, AL 35476(205) 333-5900(205) 333-6090 Get Directions Write a Review

NPPES record last updated: September 23, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Bama Pedicatrics Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BAMA PEDICATRICS LLC (NPI 1720137334) is a healthcare organization registered as a pediatrics in Northport, Alabama and active in the NPI registry since January 2007. The organization lists Bindu Bennuri, Provider, as its authorized official.

NPPES Registry Identity

NPI1720137334
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameBAMA PEDICATRICS LLC
Location Address920 ROSE DRIVENorthport, AL 35476
Mailing Address920 Rose DriveNorthport, AL 35476 · (205) 333-5900 · Fax (205) 333-6090
Fax(205) 333-6090
Organization SubpartNo
Authorized OfficialBindu BennuriProvider · (205) 333-5900
Enumeration DateJanuary 10, 2007
Last NPPES UpdateSeptember 23, 2009
✔ NPI 1720137334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in AL · 22399
Definition
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.
Also ListedAllergy & ImmunologyTaxonomy 207K00000X · License 22564 (AL)
920 ROSE DRIVE, Northport, AL 35476

Other Identifiers 2

Medicare PINK220AL
Medicaid529921850AL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bama Pedicatrics Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Bama Pedicatrics LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Allergy/Immunology
NPI 1063511202
2701 20TH AVENUE
Northport, AL 35476
(205) 333-5900
✔ PECOS✔ Accepts Medicare0.6 mi
Pediatric Medicine
NPI 1619076866
2701 20TH AVENUE
Northport, AL 35476
(205) 333-5900
✔ PECOS0.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Bama Pedicatrics LLC's NPI number?

The NPI number for Bama Pedicatrics LLC is 1720137334. It was assigned to this organization in the NPPES registry on January 10, 2007.

Where is Bama Pedicatrics LLC located?

Bama Pedicatrics LLC is located at 920 Rose Drive, Northport, AL 35476. The listed phone number is (205) 333-5900.

What is Bama Pedicatrics LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Bama Pedicatrics LLC enrolled in Medicare?

Yes. Bama Pedicatrics LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bama Pedicatrics LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Bama Pedicatrics LLC, in Allergy/Immunology and Pediatric Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bama Pedicatrics LLC was last updated on September 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.