Healthcare Provider Details

I. General information

NPI: 1407950132
Provider Name (Legal Business Name): MRS. DANA BRASFIELD BUSSEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANA MARIE BRASFIELD MD

II. Dates (important events)

Enumeration Date: 09/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2660 10TH AVENUE SOUTH STE 701
BIRMINGHAM AL
35205-1628
US

IV. Provider business mailing address

2660 10TH AVENUE SOUTH STE 701
BIRMINGHAM AL
35205-1628
US

V. Phone/Fax

Practice location:
  • Phone: 205-776-8789
  • Fax: 205-776-8792
Mailing address:
  • Phone: 205-776-8789
  • Fax: 205-776-8792

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0214X
TaxonomyPediatric Pulmonology Physician
License Number4130
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: