MEDICARE: RICHARD D. POUNCEY CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	1-033422	AL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	430052162	OTHER	AL	MEDICARE RR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	510-46796	OTHER	AL	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174596274
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD D. POUNCEY CRNA

Provider Business Mailing Address
First Line	:	2151 OLD ROCKY RIDGE ROAD
Second Line	:	SUITE 106
City	:	BIRMINGHAM
State	:	AL
Zip	:	35216-7251
Country	:	US
Telephone Number	:	205-989-1080
Fax Number	:	205-989-1087

Provider Business Practice Location Address
First Line	:	470 TAYLOR RD
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36117-3563
Country	:	US
Telephone Number	:	334-226-4048
Fax Number	:	334-323-5675

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2006
Last Update Date	:	09/23/2019

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Directions to “ RICHARD D. POUNCEY CRNA” Practice Location

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