DR. JASON BRADLEY CROWDER (NPI# 1114988086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114988086 |
| Entity Type | Individual |
| Full Name | DR. JASON BRADLEY CROWDER |
| Credential | M.D. |
| Practice Address |
14245 Dedeaux Rd Gulfport MS 39503-3369 |
| Mailing Address |
2478 Provence Pl Biloxi MS 39531-2291 |
| Practice Telephone | 2283147226 |
| Practice Fax Number | 2283147227 |
| Mailing Telephone | 2515919769 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2008-06-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
00026357 | AL | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
00026357 | AL | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 00026357 | AL | Allopathic & Osteopathic Physicians |
| Street Address |
14245 DEDEAUX RD |
| City | GULFPORT |
| State | MS |
| Zip Code | 39503-3369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205807237 | Open Mri. LLC | Physiological Laboratory | 14245 Dedeaux Rd, Gulfport, MS 39503-3369 | 2006-01-28 |
| 1669757761 | Coastal Eye Surgery Center | Clinic/Center | 14245 Dedeaux Rd, Gulfport, MS 39503-3369 | 2011-10-20 |
| 1831232479 | Richard P Hays | Specialist | 14245 Dedeaux Rd, Gulfport, MS 39503-3369 | 2007-02-14 |
| 1144363771 | William O Henry | Specialist | 14245 Dedeaux Rd, Gulfport, MS 39503-3369 | 2007-02-14 |
| 1205850773 | Gulf Coast Imaging | Specialist | 14245 Dedeaux Rd, Gulfport, MS 39503-3369 | 2006-07-27 |
| 1265457030 | Open Mri, LLC | Physiological Laboratory | 14245 Dedeaux Rd, Gulfport, MS 39503-3369 | 2006-07-13 |
| 1760453799 | Compass Imaging LLC | Physiological Laboratory | 14245 Dedeaux Rd, Gulfport, MS 39503-3369 | 2006-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515451 | Gulf Coast Neurospa, LLC | Psychiatry & Neurology | 8845 Lorraine Road, Gulfport, MS 39503 | 2020-10-16 |
| 1447865985 | Nicholas Wyrosdick | Physical Therapist | 12261 Us 49 #1, Gulfport, MS 39503 | 2020-09-11 |
| 1750935169 | Ladner Roy Drugs, LLC. | Pharmacy | 12261 Us 49 Suite 16, Gulfport, MS 39503 | 2019-07-25 |
| 1528559440 | Alexander Therapy Services, LLC | Clinic/Center | 15465 Oak Ln Ste 100c, Gulfport, MS 39503 | 2018-05-25 |
| 1750879003 | Heather Lynn Theisen | Nurse Practitioner | 15190 Community Rd Ste 330, Gulfport, MS 39503 | 2018-04-23 |
| 1083101216 | Gulf Coast Mental Health Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15094 County Barn Road, Gulfport, MS 39503 | 2018-04-13 |
| 1306343173 | Dr. Raymond Monsour Scurfield, LLC | Community/Behavioral Health | 15465 Oak Lane Ste 100-g, Gulfport, MS 39503 | 2018-04-09 |
| 1952817157 | Mary Beth Welch | Behavioral Analyst | 9230 Old Lorraine Rd, Gulfport, MS 39503 | 2017-12-26 |
| 1831603257 | Beach View Family Dental, Pllc | Dentist | 9072 Lorraine Road, Gulfport, MS 39503 | 2017-11-21 |
| 1437677721 | Mary Stephens Ruffin | Social Worker | 11262 Creek Dr, Gulfport, MS 39503 | 2017-09-07 |
| Find all providers in zip 39503 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710220082 | Jane Frazier Nunnelly | Radiology | 5963 Bayview Cir S, Gulfport, FL 33707-3929 | 2013-04-04 |
| 1912298498 | Lisa Mabry Smith | Radiology | 14257 Dedeaux Rd, Gulfport, MS 39503-3369 | 2011-05-02 |
| 1285760652 | Sangita T Patel Kapadia | Radiology | 5931 Bayview Cir S, Gulfport, FL 33707-3929 | 2007-02-27 |
| 1437150323 | Judith L. Corey | Radiology | 4320 15th St, Suite A, Gulfport, MS 39501-2524 | 2005-08-02 |
| 1922009810 | Milton R Raines | Radiology | 14231 Seaway Rd, Gulfport, MS 39503-4628 | 2005-08-02 |
| 1306847280 | Frank Alan Lovell | Radiology | 14231 Seaway Rd Ste 5003, Gulfport, MS 39503-4660 | 2005-08-02 |
| 1396165387 | Daniel Adams | Radiology | 4500 13th St, Gulfport, MS 39501-2515 | 2014-04-17 |
| 1518236124 | Pasadena Imaging Associates Pa | Radiology | 5931 Bayview Cir S, Gulfport, FL 33707-3929 | 2011-12-28 |
| 1922238278 | Jonathan Barry Mullins | Radiology | 14231 Seaway Rd Ste 5003, Gulfport, MS 39503-4660 | 2009-07-21 |
| 1013179266 | Raun Joseph Wetzel | Radiology | 14231 Seaway Rd, Gulfport, MS 39503-4628 | 2008-06-30 |
| Find all providers in GULFPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.