Provider Demographics
NPI:1134197171
Name:BUGGAY, DAVID SHANE (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:SHANE
Last Name:BUGGAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:48 MEDICAL PARK EAST DR
Mailing Address - Street 2:STE 255
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35235
Mailing Address - Country:US
Mailing Address - Phone:205-838-3090
Mailing Address - Fax:205-836-2954
Practice Address - Street 1:833 ST VINCENT DR
Practice Address - Street 2:SUITE 403
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205
Practice Address - Country:US
Practice Address - Phone:205-939-0447
Practice Address - Fax:205-939-0418
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2010-05-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL18342207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
00008260Medicare PIN
F83817Medicare UPIN