Brian P Dupont (NPI# 1629364369, PAC ID# 4183866155) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1629364369 |
| PAC ID by PECOS | 4183866155 |
| Professional Enrollment ID | I20170818001424 |
| Full Name | Brian P Dupont |
| Organization Legal Name | SOUTH BALDWIN DIAGNOSTIC IMAGING ASSOCIATES, P.C. |
| Address |
1613 N Mckenzie St Foley AL 36535-2247 |
| Phone Number | 2519493513 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1254380769 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010083 | SOUTH BALDWIN REGIONAL MEDICAL CENTER |
| 010100 | THOMAS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1613 N Mckenzie St, Foley, AL 36535-2247 | 2519493513 | SOUTH BALDWIN DIAGNOSTIC IMAGING ASSOCIATES, P.C. |
| Organization Legal Name | SOUTH BALDWIN DIAGNOSTIC IMAGING ASSOCIATES, P.C. |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John J Campbell | Diagnostic Radiology | South Baldwin Diagnostic Imaging Associates, P.C. | 1613 N Mckenzie St, Foley, AL 36535-2247 |
| William Paul Jones | Diagnostic Radiology | South Baldwin Diagnostic Imaging Associates, P.C. | 1613 N Mckenzie St, Foley, AL 36535-2247 |
| Mark R Connell | Diagnostic Radiology | South Baldwin Diagnostic Imaging Associates, P.C. | 1613 N Mckenzie St, Foley, AL 36535-2247 |
| Street Address |
1613 N MCKENZIE ST |
| City | FOLEY |
| State | AL |
| Zip | 36535-2247 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John J Campbell | Diagnostic Radiology | South Baldwin Diagnostic Imaging Associates, P.C. | 1613 N Mckenzie St, Foley, AL 36535-2247 |
| Dan E Miller | Certified Registered Nurse Anesthetist (crna) | South Baldwin Anesthesia PC | 1613 N Mckenzie St, Foley, AL 36535-2247 |
| George C Graves | Neurology | Foley Clinic Corp. | 1613 N Mckenzie St, Foley, AL 36535-2247 |
| Thomas H Booth Ii | Certified Registered Nurse Anesthetist (crna) | South Baldwin Anesthesia PC | 1613 N Mckenzie St, Foley, AL 36535-2247 |
| Kevin F Omeara | Emergency Medicine | Foley Emergency Physicians, LLC | 1613 N Mckenzie St, Foley, AL 36535-2247 |
| Willis T Nichols | General Surgery | Foley Clinic Corp. | 1613 N Mckenzie St, Foley, AL 36535-2247 |
| William Walton Beazley | Emergency Medicine | Foley Clinic Corp. | 1613 N Mckenzie St, Foley, AL 36535-2247 |
| Mark T. Knower | Internal Medicine | Foley Clinic Corp. | 1613 N Mckenzie St, Foley, AL 36535-2247 |
| Ronnie Ormand Sims | Emergency Medicine | Foley Emergency Physicians, LLC | 1613 N Mckenzie St, Foley, AL 36535-2247 |
| Katharina V Meyer | Nephrology | Foley Clinic Corp. | 1613 N Mckenzie St, Foley, AL 36535-2247 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer L Aliment | Chiropractic | Family Tree Chiropractic LLC | 8158 Hwy 59 106, Foley, AL 36535 |
| Charles V Buckmaster | General Practice | 8158 Hwy 59 107, Foley, AL 36535 | |
| Michael G Waters | Urology | 102 Greentree Lane, Foley, AL 36535 | |
| Christopher S Aliment | Chiropractic | Family Tree Chiropractic LLC | 8158 Hwy 59 106, Foley, AL 36535 |
| Jimmy Steven Hankins | Family Medicine | Coastal Occupational Medicine and Pain Management, P.C. | 915 W Laurel Ave, Foley, AL 36535-1324 |
| Gregory T Bonds | Physical Therapy | Coastal Occupational Medicine and Pain Management, P.C. | 915 W Laurel Ave, Foley, AL 36535-1324 |
| Sandra R Alexander | General Practice | Coastal Occupational Medicine and Pain Management, P.C. | 915 W Laurel Ave, Foley, AL 36535-1324 |
| Amanda R Brantley | Nurse Practitioner | Coastal Occupational Medicine and Pain Management, P.C. | 915 W Laurel Ave, Foley, AL 36535-1324 |
| Howard D Salter | Physical Therapy | 780 W Laurel Ave, Foley, AL 36535-1348 | |
| Jason Presley | Physician Assistant | Immediate Care Foley, LLC | 1265 S Mckenzie St, Foley, AL 36535-1818 |
| Find all physicians in zip 36535 | |||
| City | FOLEY |
| Zip Code | 36535 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | FOLEY + DIAGNOSTIC RADIOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.