Michael Puccinelli, MD
Michael Puccinelli is a Surgery Physician provider (Surgery) practicing in Dothan, AL, registered in the NPPES registry with NPI 1124641139 since 2020. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1124641139 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Michael Puccinelli |
| Credential | MD |
| Sex | Male |
| Practice address | 4300 W MAIN ST STE 21, Dothan, AL, 36305 |
| Phone | 3346997900 |
| Enumeration date | 2020-05-26 |
| Last updated in NPPES | 2025-09-18 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208600000X | Surgery Physician | Primary | 52146 | AL |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Copy-ready billing details
Provider: Michael Puccinelli, MD NPI: 1124641139 Taxonomy: 208600000X (Surgery Physician) Address: 4300 W MAIN ST STE 21, Dothan, AL, 36305
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1073508404 | Charles Carpenter | Individual | Surgery Physician | Dothan, AL |
| 1861471096 | Fady Wanna | Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | Dothan, AL |
| 1982677803 | Thomas Gauldin | Individual | Surgical Physician Assistant | Dothan, AL |
| 1922072834 | Victor Dreicer | Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | Dothan, AL |
| 1912282948 | Imran Khalil | Individual | Interventional Cardiology Physician | Dothan, AL |
| 1184995292 | Jason Cox | Individual | Adult Health Nurse Practitioner | Dothan, AL |
| 1982025003 | Wendi Tice | Individual | Nurse Practitioner | Dothan, AL |
| 1457739286 | Zachary Bryant | Individual | Surgery Physician | Dothan, AL |
Verify this record
Cross-check NPI 1124641139 against the authoritative CMS record: view Michael Puccinelli on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-09-18.