Individual
BILLY M BUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4600 HIGHWAY 280 STE 100, BIRMINGHAM, AL 35242-5185
(205) 408-1231
(205) 408-1229
Mailing address
1 W LAKESHORE DR STE 100, BIRMINGHAM, AL 35209-7271
(205) 547-3996
(205) 408-1231
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD.13367
AL
207R00000X
Internal Medicine Physician
Primary
13367
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000061818
—
AL
01
—
1699756973
TRICARE SOUTH
AL
01
—
510-61818
BCBS
AL
05
—
A14431C
—
AL
Enumeration date
11/14/2005
Last updated
01/12/2022
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