Brian C Center (NPI# 1790908796, PAC ID# 5597821934) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
| Nation Provider ID (NPI) | 1790908796 |
| PAC ID by PECOS | 5597821934 |
| Professional Enrollment ID | I20090310000126 |
| Full Name | Brian C Center |
| Organization Legal Name | 21ST CENTURY ONCOLOGY OF ALABAMA LLC |
| Address |
4274 W Main St Dothan AL 36305-1062 |
| Phone Number | 3347932312 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 2002 |
| Primary Specialty | RADIATION ONCOLOGY |
| Group Practice PAC ID | 7113815044 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010055 | FLOWERS HOSPITAL |
| 010049 | MEDICAL CENTER ENTERPRISE |
| Address | Phone | Organization |
|---|---|---|
| 4274 W Main St, Dothan, AL 36305-1062 | 3347932312 | 21ST CENTURY ONCOLOGY OF ALABAMA LLC |
| 203 E Adams Ave, Enterprise, AL 36330-2546 | 3343475316 | 21ST CENTURY ONCOLOGY OF ALABAMA LLC |
| Organization Legal Name | 21ST CENTURY ONCOLOGY OF ALABAMA LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hejal C Patel | Radiation Oncology | 21st Century Oncology of Alabama LLC | 4274 W Main St, Dothan, AL 36305-1062 |
| Street Address |
4274 W MAIN ST |
| City | DOTHAN |
| State | AL |
| Zip | 36305-1062 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hejal C Patel | Radiation Oncology | 21st Century Oncology of Alabama LLC | 4274 W Main St, Dothan, AL 36305-1062 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Norma Faye Mcknight | Nurse Practitioner | Affiliated Dermatology, PC | 4300 W Main St, Suite 102, Dothan, AL 36305-1051 |
| Kelli N Heer | Physician Assistant | Affiliated Dermatology, PC | 4300 W Main St, Suite 102, Dothan, AL 36305-1051 |
| Robert M Hagler | Obstetrics/gynecology | Womens Healthcare of Dothan PC | Suite, 31 4300 W Main St, Dothan, AL 36305-1051 |
| Tonia L Ruddock | Dermatology | Affiliated Dermatology, PC | 4300 W Main St, Suite 102, Dothan, AL 36305-1051 |
| Laura M Tamburin | Dermatology | Affiliated Dermatology, PC | 4300 W Main St, Suite 102, Dothan, AL 36305-1051 |
| Candace N Short | Nurse Practitioner | Womens Healthcare of Dothan PC | Suite, 31 4300 W Main St, Dothan, AL 36305-1051 |
| James Butler | Obstetrics/gynecology | Womens Healthcare of Dothan PC | Suite, 31 4300 W Main St, Dothan, AL 36305-1051 |
| Craig D Omohundro | Dermatology | Affiliated Dermatology, PC | 4300 W Main St, Suite 102, Dothan, AL 36305-1051 |
| Philip Mathew Dozier | Obstetrics/gynecology | Womens Healthcare of Dothan PC | Suite, 31 4300 W Main St, Dothan, AL 36305-1051 |
| Christopher E Nicholls | Obstetrics/gynecology | Womens Healthcare of Dothan PC | Suite, 31 4300 W Main St, Dothan, AL 36305-1051 |
| Find all physicians in zip 36305 | |||
| City | DOTHAN |
| Zip Code | 36305 |
| Specialty | RADIATION ONCOLOGY |
| City + Specialty | DOTHAN + RADIATION ONCOLOGY |
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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.