BRIAN D. SIDDALL M.D. – NPI #1205029352
General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
BRIAN SIDDALL is a physician located in MCRAE, GA. NPPES has assigned the NPI number 1205029352 to BRIAN SIDDALL on August 22, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.
The NPI profile was previously updated about 8 years ago on Oct 29, 2018. 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 BRIAN SIDDALL below.
NPI Profile for
BRIAN D. SIDDALL
(about 19 years ago)
MCRAE, GA 31055-5128 Phone: (478) 864-3448 Fax: (478) 864-1288
2251 WEST ELM STREET
WRIGHTSVILLE, GA 31096-0371 Phone: (478) 864-3448 Fax: (478) 864-1288
Identifiers for BRIAN SIDDALL
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | STATE LICENSE | GA | 23227 |
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 |
|---|---|---|
| 208D00000X - General Practice (Primary) |
GA | 023227 |
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.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
BRIAN SIDDALL is affiliated with the following medical group(s):
- HOSPITAL
- DODGE COUNTY HOSPITAL901 GRIFFIN AVE
EASTMAN, GA 31023 - FAIRVIEW PARK HOSPITAL200 INDUSTRIAL BOULEVARD
DUBLIN, GA 31021
- DODGE COUNTY HOSPITAL901 GRIFFIN AVE
- HOME HEALTH AGENCY
- THREE RIVERS HOME HEALTH SERVICES, INC205 FOSTER STREET
EASTMAN, GA 31023
- THREE RIVERS HOME HEALTH SERVICES, INC205 FOSTER STREET
- NURSING HOME
- MCRAE MANOR NURSING HOME160 SOUTH FIRST AVENUE
MC RAE, GA 31055
- MCRAE MANOR NURSING HOME160 SOUTH FIRST AVENUE
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See the complete CMS Data Dissemination Notice here.