Provider Demographics
NPI:1407950132
Name:BUSSEY, DANA BRASFIELD
Entity Type:Individual
Prefix:MRS
First Name:DANA
Middle Name:BRASFIELD
Last Name:BUSSEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DANA
Other - Middle Name:MARIE
Other - Last Name:BRASFIELD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2660 10TH AVENUE SOUTH
Mailing Address - Street 2:STE 701
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-1628
Mailing Address - Country:US
Mailing Address - Phone:205-776-8789
Mailing Address - Fax:205-776-8792
Practice Address - Street 1:2660 10TH AVENUE SOUTH
Practice Address - Street 2:STE 701
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-1628
Practice Address - Country:US
Practice Address - Phone:205-776-8789
Practice Address - Fax:205-776-8792
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL41302080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL80640OtherBLUE CROSS
51537085OtherBCBS
AL80640OtherBLUE CROSS