Samuel J Perna III
Family Doctor Family Doctor - Hospice and Palliative Medicine
1600 7th Ave S
Birmingham
, Alabama 35233-1711
Samuel J Perna III
Family Doctor Family Doctor - Hospice and Palliative Medicine
1600 7th Ave S
Birmingham
, Alabama 35233-1711
(205) 731-9701
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About
Features
Specialties
- Family Doctor
- Family Doctor - Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Samuel J Perna III
- Po Box 55310
- Birmingham, AL
- Zip : 35255-5310
- Phone : (205) 731-9701
Second Address
- Samuel J Perna III
- 1600 7th Ave S
- Birmingham, AL
- Zip : 35233-1711
- Phone : (205) 939-9100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | OS9525 | FL |
| Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | DO966 | AL |
National Provider Identifier
| NPI | 1568541480 |
|---|---|
| Provider Name | Samuel J Perna III |
| First Address | Birmingham, AL 35255-5310 |
| Second Address | Birmingham, AL 35233-1711 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/11/2006 |
| Last Update Date | 19/12/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 009912893 | (05) | AL |
| 009912894 | (05) | AL |
| 009912896 | (05) | AL |
| 009912898 | (05) | AL |
| 02556099 | (05) | MS |
| 051545714 | BCBS (01) | AL |
| 051545732 | BCBS (01) | AL |
| 051545734 | BCBS (01) | AL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.