DR. DWAYNE K BADGETT (NPI# 1497748404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497748404 |
| Entity Type | Individual |
| Full Name | DR. DWAYNE K BADGETT |
| Credential | M.D. |
| Practice Address |
8055 Spyglass Hill Rd Suite 102 Melbourne FL 32940-8564 |
| Mailing Address |
Po Box 11407 Belfast ME 04915-4005 |
| Practice Telephone | 3212558080 |
| Practice Fax Number | 3212422313 |
| Mailing Telephone | 3212558080 |
| Mailing Fax Number | 3212422313 |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2015-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
ME91509 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA NUMBER | BB6864640 | 01 | |
| FL | 281097200 | 05 | |
| FL | FLORIDA MEDICAL LICENSE | ME91509 | 01 |
| Street Address |
8055 SPYGLASS HILL RD SUITE 102 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32940-8564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962717058 | Melbourne Hma Medical Group, LLC | Internal Medicine | 8055 Spyglass Hill Rd, Melbourne, FL 32940-8564 | 2010-08-12 |
| 1073830170 | Neurology Associates of Brevard LLC | Psychiatry & Neurology | 8055 Spyglass Hill Rd, Suite 102, Melbourne, FL 32940-8564 | 2010-04-28 |
| 1235399114 | Marina S Kaufman | Internal Medicine | 8055 Spyglass Hill Rd, Suite 102, Melbourne, FL 32940-8564 | 2008-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700403649 | True Motion Physical Therapy and Wellness | Clinic/Center | 3536 Peninsula Circle, Mlebourne, FL 32940 | 2020-06-26 |
| 1568089431 | Live Gracefully Physio and Wellness, Pllc | Clinic/Center | 6470 Shadow Creek Trail, Apt 5204, Melbourne, FL 32940 | 2020-06-26 |
| 1295360592 | Hiteshi Patel | Pharmacist | 3134 Hummingbird Way, Melbourne, FL 32940 | 2020-03-06 |
| 1972133122 | Curtis Lynn Curbo | Social Worker | 3830 Fringetree Lane, Melbourne, FL 32940 | 2020-01-16 |
| 1861038283 | Medfast Urgent Care Centers, LLC | Clinic/Center | 5500 Stadium Parkway, Melbourne, FL 32940 | 2019-11-20 |
| 1134601594 | Caroline Grace Bennett | Behavior Technician | 5500 Murrell Rd Suite 100, Melbourne, FL 32940 | 2018-09-02 |
| 1730682642 | Centennial Medical Group | Family Medicine | 1341 Bedford Drive, Melbourne, FL 32940 | 2018-03-16 |
| 1356849251 | Executive Non-emergency Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3155-02 Suntree Blvd, Melbourne, FL 32940 | 2018-01-25 |
| 1679081160 | Brevard Oaks Center, LLC | Skilled Nursing Facility | 2355 Vidina Drive, Viera, FL 32940 | 2018-01-18 |
| 1275045817 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 6340 N Wickham Rd Ste 101, Melbourne, FL 32940 | 2017-11-03 |
| Find all providers in zip 32940 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902844699 | Irfan Riaz Imami | Surgery | 1223 Gateway Dr Ste 2c, Melbourne, FL 32901-2607 | 2006-06-03 |
| 1689652729 | James W. Battaglini | Surgery | 1601 S Apollo Blvd, Suite B, Melbourne, FL 32901-4484 | 2006-01-09 |
| 1730178641 | Fuad M Ramadan | Surgery | 1250 S Harbor City Blvd, Suite A, Melbourne, FL 32901-3242 | 2005-10-14 |
| 1184624041 | Nowokere Esemuede | Surgery | 240 N Wickham Rd, Suite 204, Melbourne, FL 32935-8662 | 2005-07-21 |
| 1043479025 | Irfan R Imami Md Pl | Surgery | 1140 Broadband Dr, Melbourne, FL 32901-2623 | 2008-06-05 |
| 1396857611 | Peter Samo Dovgan | Surgery | 655 S Apollo Blvd, Melbourne, FL 32901-1485 | 2006-08-31 |
| 1245262039 | Ormond C Mendes | Surgery | 1350 Hickory St, Suite 102, Melbourne, FL 32901-3224 | 2006-07-06 |
| 1245215888 | Mark S Rosenbloom | Surgery | 1223 Gateway Dr, Melbourne, FL 32901-2607 | 2005-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104394857 | George Scott Hall Sr. | Surgery | 9 Marsh Creek Rd, Fernandina Beach, FL 32034-6413 | 2018-11-09 |
| 1316413115 | Fox Vascular Experts, LLC | Surgery | 2699 Stirling Rd Ste A301302, Fort Lauderdale, FL 33312-6517 | 2018-10-18 |
| 1114417508 | Vascular Center of Naples Inc. | Surgery | 5490 Bryson Dr Ste 201, Naples, FL 34109 | 2018-05-11 |
| 1598267593 | Joseph D Stillword, Md | Surgery | 800 Zeagler Dr Ste 320, Palatka, FL 32177-3827 | 2018-03-06 |
| 1386157006 | Beatriz Lam | Surgery | 2001 West 68 St, Cvicu, Hialeah, FL 33016 | 2017-11-16 |
| 1811421092 | Sunrise Vascular Center | Surgery | 8555 Nw 165th Ter, Miami Lakes, FL 33016-6138 | 2017-04-14 |
| 1962891838 | Global Trauma Systems, Inc | Surgery | 126 Se Mira Lavella, Port Saint Lucie, FL 34984-6615 | 2015-01-15 |
| 1184013450 | Vas-q-lar, Inc | Surgery | 6187 Nw 167th St, Suite H13, Hialeah, FL 33015-4340 | 2015-01-09 |
| 1396147138 | Usa Vein Clinics of Miami, LLC | Surgery | 1711 E Hallandale Beach Blvd Ste B, Hallandale Beach, FL 33009-4621 | 2014-09-24 |
| 1114336021 | Florida Vein Center, Inc | Surgery | 6050 53rd Ave E Unit A, Bradenton, FL 34203-9700 | 2014-08-05 |
| Find all providers with the same taxonomy | ||||
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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.