DR. SEAN BRIAN BOHANNON (NPI# 1881851491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881851491 |
| Entity Type | Individual |
| Full Name | DR. SEAN BRIAN BOHANNON |
| Credential | M.D. |
| Practice Address |
203 Vaughan Memorial Dr Selma AL 36701-6950 |
| Mailing Address |
Po Box 570 Selma AL 36702-0570 |
| Practice Telephone | 3343758007 |
| Practice Fax Number | 3345261849 |
| Mailing Telephone | 3343758007 |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2019-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | MD.30834 | AL | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | MD.30834 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 129899 | 05 |
| Street Address |
203 VAUGHAN MEMORIAL DR |
| City | SELMA |
| State | AL |
| Zip Code | 36701-6950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003863846 | Deidre J. Russell, M.d.,llc | Specialist | 203 Vaughan Memorial Dr, Selma, AL 36701-6950 | 2006-05-27 |
| 1326608183 | Marjorie Ellen Mitchell | Nurse Practitioner | 203 Vaughan Memorial Dr, Selma, AL 36701-6950 | 2019-06-14 |
| 1164853099 | Helen Katherine Fancher | Nurse Practitioner | 203 Vaughan Memorial Dr, Selma, AL 36701-6950 | 2013-12-03 |
| 1245520063 | Selma Women's Health, LLC | Specialist | 203 Vaughan Memorial Dr, Selma, AL 36701-6950 | 2011-04-13 |
| 1336336452 | Turning Leaf Medical, Inc. | Obstetrics & Gynecology | 203 Vaughan Memorial Dr, Selma, AL 36701-6950 | 2007-10-02 |
| 1235339342 | Brent Booth Whiddon | Obstetrics & Gynecology | 203 Vaughan Memorial Dr, Selma, AL 36701-6950 | 2007-07-18 |
| 1669585576 | William Chester Deavor | Specialist | 203 Vaughan Memorial Dr, Selma, AL 36701-6950 | 2006-08-16 |
| 1467565341 | Deidre Russell | Specialist | 203 Vaughan Memorial Dr, Selma, AL 36701-6950 | 2006-08-16 |
| 1104867837 | Tamarah Mason | Nurse Practitioner | 203 Vaughan Memorial Dr, Selma, AL 36701-6950 | 2006-06-10 |
| 1972550531 | W. C. Deavor, M.d.,p.c. | Specialist | 203 Vaughan Memorial Dr, Selma, AL 36701-6950 | 2006-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114491057 | Monica Boswell Moore | Nurse Practitioner | 1015 Medical Center Parkway, Selma, AL 36701 | 2019-01-14 |
| 1649784430 | Lightfoot Chiropractic Clinic, LLC | Chiropractor | 2117 Broad Street, Selma, AL 36701 | 2017-12-01 |
| 1356883284 | Vatausha Howard | Counselor | 1017 Medical Center Parkway, Selma, AL 36701 | 2016-11-09 |
| 1366993230 | Homestead Hospice of Cahaba | Hospice, Inpatient | 3005 Citizens Parkway, Selma, AL 36701 | 2016-10-17 |
| 1497018675 | Lashana Faye Jones | Technician | 2423 A North Broad St, Selma, AL 36701 | 2012-06-21 |
| 1528222809 | Eric M. Roussell Sr. | Pharmacist | 1300 Highland Avenue, Selma, AL 36701 | 2008-07-15 |
| 1144499302 | Cecil William Fuller Sr. | Dentist | 203 Dallas Ave, Selma, AL 36701 | 2008-02-21 |
| 1184813396 | Alliance Pharmacy LLC | Pharmacy | 133 1half Broad St, Selma, AL 36701 | 2007-10-24 |
| 1376740373 | Selma City | Local Education Agency (LEA) | 2194 Broad Street, Selma, AL 36701 | 2007-07-02 |
| 1245356229 | Georgia W Rhodes | Audiologist | 2906 Citizens Pkwy, Selma, AL 36701 | 2007-03-22 |
| Find all providers in zip 36701 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750870812 | Selma Family Care PC | Family Medicine | Selma Family Care, PC, 203 Vaughan Memorial Drive, Selma, AL 36701-6950 | 2018-05-04 |
| 1922453356 | Juan Rios | Family Medicine | 2705 Highland Ave, Selma, CA 93662-3389 | 2016-05-04 |
| 1164774675 | Raul Ayala | Family Medicine | 2141 High St Ste E, Selma, CA 93662-3065 | 2012-10-08 |
| 1669728895 | Sravan Kumar Reddy Bezwada | Family Medicine | 1023 Med Ctr Pkwy, Ste 200, Selma, AL 36701-6780 | 2012-07-25 |
| 1629231717 | Jessica Sakhone Craig Md,inc | Family Medicine | 2003 1st St, 120a, Selma, CA 93662-3519 | 2008-07-08 |
| 1386793131 | Ernest T Okeke | Family Medicine | 901 Jeff Davis Ave, Suite A, Selma, AL 36701 | 2007-01-10 |
| 1902994551 | Humberto Jesus Villalvazo | Family Medicine | 1237 Rose Ave, Selma, CA 93662-3227 | 2006-10-10 |
| 1205894003 | Sai Shankar Namburu | Family Medicine | 1025 Medical Center Pkwy, Selma, AL 36701-6780 | 2006-05-02 |
| 1578525291 | Tiffani N Maycock | Family Medicine | 1023 Medical Center Pkwy Ste 200, Selma, AL 36701-7739 | 2006-04-06 |
| 1962475046 | Glenton W Davis | Family Medicine | 223 Dallas Ave, Selma, AL 36701-5744 | 2006-02-09 |
| Find all providers in SELMA | ||||
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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.