DR. BRUCE A PETITT M.D. NPI 1811057003
Pediatrics in Tuscaloosa, AL

About DR. BRUCE A PETITT M.D.

Bruce Petitt is a pediatrician established in Tuscaloosa, Alabama and his medical specialization is Pediatrics. The NPI number of this provider is 1811057003 and was assigned on December 2006. The practitioner's primary taxonomy code is 208000000X with license number 15378 (AL). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1811057003
Provider NameDR. BRUCE A PETITT M.D.
Location Address1060 FAIRFAX PARK SUITE C TUSCALOOSA, AL 35406
Location Phone(205) 752-7337
Mailing Address1060 FAIRFAX PARK SUITE C TUSCALOOSA, AL 35406
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Enumeration Date12-11-2006
Last Update Date12-14-2010

A pediatrician like Bruce Petitt is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc..



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code208000000X
ClassificationPediatrics
TypeAllopathic & Osteopathic Physicians
License No.15378
License StateAL
Taxonomy DescriptionA 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.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:

  • Blue Cross Blue Shield
  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

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

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Mailing Address

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


Location Map

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
E46882MEDICARE UPIN (02)AL
009921560MEDICAID (05)AL
051093844OTHER (01)ALBLUE CROSS/BLUE SHIELD OF AL

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1811057003
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2821051400
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 2 + 1 + 0 + 5 + 1 + 4 + 0 + 0 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1811057003 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1164489399MR. AHMED SALEH FARAH MD
Individual
Surgery1060 FAIRFAX PARK STE B
TUSCALOOSA, AL 35406
(205) 758-6471
1144287376 RAGHDA YAHYA MD
Individual
Pediatrics1060 FAIRFAX PARK STE B
TUSCALOOSA, AL 35406
(205) 758-6471
1013974179 BASSAM MUSHANNEN MD
Individual
Internal Medicine (Cardiovascular Disease)1060 FAIRFAX PARK STE B
TUSCALOOSA, AL 35406
(205) 758-6471
1013077205BRUCE A PETITT M.D. P.C.
Organization
Pediatrics1060 FAIRFAX PARK SUITE C
TUSCALOOSA, AL 35406
(205) 752-7337
1902057474MRS. TASHIA N ISLAM PA
Individual
Physician Assistant (Medical)1060 FAIRFAX PARK SUITE B
TUSCALOOSA, AL 35406
(205) 758-6471
1730437054 JILL MARIE PICONE CRNP
Individual
Nurse Practitioner (Family)1060 FAIRFAX PARK SUITE C
TUSCALOOSA, AL 35406
(205) 752-7337
1619026713SOUTHERN SURGICAL ASSOCIATES LLC
Organization
Surgery1060 FAIRFAX PARK SUITE B
TUSCALOOSA, AL 35406
(207) 758-6471

Frequently Asked Questions

What is Dr. Bruce Petitt M.D. NPI number?

The NPI number assigned to this healthcare provider is 1811057003, registered as an "individual" on December 11, 2006

Where is Dr. Bruce Petitt M.D. located?

The provider is located at 1060 Fairfax Park Suite C Tuscaloosa, Al 35406 and the phone number is (205) 752-7337

Which is Dr. Bruce Petitt M.D. specialty?

The provider's speciality is Pediatrics

What insurance does Dr. Bruce Petitt M.D. accept?

The provider might be accepting Blue Cross Blue Shield, Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

How do I update my NPI information?

The NPI record of Dr. Bruce Petitt M.D. was last updated on December 11, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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