Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Ethan Tyler Dungan

Individual provider Infectious Disease Physician · NPI 1255994588

Mr. Ethan Tyler Dungan is a Nurse Practitioner in Birmingham, Alabama. Qualified in 2016, 10 years ago. Practices with University of Alabama Health Services Foundation, PC, a 2,759-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
10
Licensed in
AL
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

1802 6th Ave S
Birmingham, AL 35233-1932
Phone: (205) 996-5111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 500 22nd St S, Birmingham, AL 35233-3110 — (205) 934-1917

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 1-149801 (AL)
Infectious Disease Physician Taxonomy 207RI0200X · Licence 1-149801 (AL)

Record details

NPI number1255994588
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 22, 2019
Last updated in NPPESJune 29, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice University Of Alabama Health Services Foundation, Pc — 2759 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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