DEKALB RADIOLOGIST GROUP, LLC – NPI #1891848784
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

DEKALB RADIOLOGIST GROUP, LLC is a radiologist located in FORT PAYNE, AL. NPPES has assigned the NPI number 1891848784 to DEKALB RADIOLOGIST GROUP, LLC on January 22, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DEKALB RADIOLOGIST GROUP, LLC below.

NPI Profile for
DEKALB RADIOLOGIST GROUP, LLC

NPI Number
1891848784
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DEKALB RADIOLOGIST GROUP, LLC
Primary location
200 MEDICAL CENTER DRIVE
FORT PAYNE, AL 35968
Phone: (256) 997-2189 Fax: (256) 638-7445
Mailing address
PO BOX 680949
FORT PAYNE, AL 35968-1610
Phone: (256) 997-2189 Fax: (256) 638-7445
Organization Subpart
No
Authorized Official
BRADLEY COCKRAN
OWNER
Phone: (256) 997-2189
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.