Individual
DR. BRUCE A PETITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1060 FAIRFAX PARK, SUITE C, TUSCALOOSA, AL 35406-2806
(205) 752-7337
(205) 752-8013
Mailing address
1060 FAIRFAX PARK, SUITE C, TUSCALOOSA, AL 35406-2806
(205) 752-7337
(205) 752-8013
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
15378
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009921560
—
AL
01
—
051093844
BLUE CROSS/BLUE SHIELD OF AL
AL
Enumeration date
12/11/2006
Last updated
12/14/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us