DR. DUSTIN H. BRIMBLECOM


Address: 2501 N. Patterson Street, Valdosta, GA 31602-1735
Phone: 2293331000

DR. DUSTIN H. BRIMBLECOM (NPI# 1891920989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891920989
Entity Type Individual
Full Name DR. DUSTIN H. BRIMBLECOM
Credential M.D.
Practice Address 2501 N. Patterson Street
Valdosta
GA 31602-1735
Mailing Address 1613 N. Harrison Parkway #200
Sunrise
FL 33323-2853
Practice Telephone 2293331000
Practice Fax Number 8004372672
Mailing Telephone 9548382371
Mailing Fax Number 9548511746
Enumeration Date 2009-05-19
Last Update Date 2012-02-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine 066996 GA Allopathic & Osteopathic Physicians
N 207PE0004X Emergency Medicine
Specialization: Emergency Medical Services
TRN13697 FL Allopathic & Osteopathic Physicians

Office Location

Street Address 2501 N. PATTERSON STREET
City VALDOSTA
State GA
Zip Code 31602-1735

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306985619 Tana M. Macera Nurse Practitioner 2501 N. Patterson Street, Valdosta, GA 31602-1735 2007-02-05
1962753137 Bonnie Smith Skinner Anesthesiologist Assistant 2501 N. Patterson Street, Valdosta, GA 31602 2012-09-27
1265700595 Jennifer Ann Stevick Nurse Practitioner 2501 N. Patterson Street, Valdosta, GA 31602-1735 2011-12-01
1326242926 Savita Bidyasar Internal Medicine 2501 N. Patterson Street, Valdosta, GA 31602-1735 2007-06-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477198117 Amber Michele Baugh Behavior Technician 2236 Bemiss Road, Valdosta, GA 31602 2019-11-15
1528611365 Nishaben T. Patel Nurse Practitioner 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 2019-07-22
1427615871 Blair Elizabeth Tomlinson Nurse Practitioner 2124 Lakeshore Drive, Valdosta, GA 31602 2019-05-21
1346704152 Mildred Itaska Borowski Counselor 3790 North Highway 41, Suite A, Valdosta, GA 31602 2019-01-25
1962991703 Southern Healthcare Alliance, LLC Physical Medicine & Rehabilitation 101-f W. Northside Drive, Valdosta, GA 31602 2018-05-08
1336636646 Kaitlyn Thrift Behavioral Analyst 2225 Bemiss Road Suite D, Valdosta, GA 31602 2018-04-23
1407379845 Lindsey Marie Richardson Dentist 103 W. Cranford Ave, Valdosta, GA 31602 2017-07-18
1962922427 Taylor Nicole Fiveash Nurse Practitioner 101 W Northisde Dr, Bldg G, Valdosta, GA 31602 2017-06-26
1720520646 Southern Sleepers Anesthesia LLC Nurse Anesthetist, Certified Registered 4120-b N. Valdosta Road, Valdosta, GA 31602 2016-11-09
1134670557 Cataract and Laser Surgery Center of South Georgia, P.C. Clinic/Center 4120-b N. Valdosta Rd., Valdosta, GA 31602 2016-10-20
Find all providers in zip 31602

Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801216007 Xenophon Mucciarone Emergency Medicine 300 N Patterson St, Valdosta, GA 31601-5519 2014-04-26
1205878386 Alan Stout Emergency Medicine 612 N Patterson St, Valdosta, GA 31601-4610 2006-06-12
1679542781 Douglas Moss Emergency Medicine 814 Northwood Park Dr, Valdosta, GA 31602-1398 2006-03-14
1205804622 Simon Adames Emergency Medicine 3386 Greystone Way, Valdosta, GA 31605-1096 2006-03-10
1801887161 James C Eutzler Emergency Medicine 520 Griffin Ave, Valdosta, GA 31601-6331 2005-11-04
1417597170 Sgmc Physician Network Inc Emergency Medicine 2501 N Patterson St, Valdosta, GA 31602-1735 2020-01-10
1447701065 Nes of Shelby Inc Emergency Medicine 2501 N Patterson St, Valdosta, GA 31602-1735 2016-10-19
1992169692 Keegan Anne Michel Emergency Medicine 2501 N Patterson St, Valdosta, GA 31602-1735 2016-04-08
1700248788 Eric Brent Edgerton Emergency Medicine 2501 N Patterson St, Valdosta, GA 31602-1785 2016-03-28
1306208558 Davis Page Lester Emergency Medicine 2501 N Patterson St, Valdosta, GA 31602-1735 2016-03-27
Find all providers in VALDOSTA

Competitor

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City VALDOSTA
Zip Code 31602

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Dataset Information

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.

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