DR. BRETT TYLER DONEGAN (NPI# 1922397710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922397710 |
Entity Type | Individual |
Full Name | DR. BRETT TYLER DONEGAN |
Credential | M.D. |
Practice Address |
2006 Franklin St Se Ste 200 Huntsville AL 35801-4537 |
Practice Telephone | 2565390457 |
Mailing Telephone | 2565390457 |
Mailing Fax Number | 2565395827 |
Enumeration Date | 2011-03-31 |
Last Update Date | 2020-05-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2085N0700X |
Radiology Specialization: Neuroradiology |
38728 | AL | Allopathic & Osteopathic Physicians |
N | 2085N0700X |
Radiology Specialization: Neuroradiology |
2017009605 | MO | Allopathic & Osteopathic Physicians |
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
38728 | AL | Allopathic & Osteopathic Physicians |
N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
38728 | AL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | BCBS | 51234950 | 01 |
AL | BCBS | 51234990 | 01 |
AL | 243980 | 05 | |
AL | BCBS | 51234994 | 01 |
AL | BCBS | 51235105 | 01 |
AL | CAQH | 14543732 | 01 |
AL | 240296 | 05 | |
AL | BCBS | 51234995 | 01 |
AL | 241692 | 05 | |
AL | 244014 | 05 | |
AL | BCBS | 51234991 | 01 |
AL | BCBS | 51234993 | 01 |
AL | BCBS | 51235106 | 01 |
AL | BCBS | 51235122 | 01 |
AL | 240300 | 05 | |
AL | 240419 | 05 | |
AL | BCBS | 51234992 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
101 Sivley Rd Sw, Huntsville, AL 358014470 | 2565390457 | 2565395827 |
2006 Franklin St Se Ste 200, Huntsville, AL 358014537 | 2565390457 | |
700 W Market St, Athens, AL 356112422 | 2565390457 | 2565395827 |
Street Address |
2006 FRANKLIN ST SE STE 200 |
City | HUNTSVILLE |
State | AL |
Zip Code | 35801-4537 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306870746 | Kevin L. Waldrop | Radiology | 2006 Franklin St Se Ste 200, Huntsville, AL 35801-4537 | 2006-07-10 |
1154733517 | David Jiwoong Kim | Radiology | 2006 Franklin St Se Ste 200, Huntsville, AL 35801-4537 | 2014-05-20 |
1225473325 | Carter Austin Pelham | Radiology | 2006 Franklin St Se Ste 200, Huntsville, AL 35801 | 2013-05-02 |
1033479233 | Phillip Dale Bates Jr. | Radiology | 2006 Franklin St Se Ste 200, Huntsville, AL 35801-4537 | 2012-05-21 |
1750656104 | Austin Royce Faulkner | Radiology | 2006 Franklin St Se Ste 200, Huntsville, AL 35801-4537 | 2012-03-19 |
1104058213 | Freddie R Swain | Radiology | 2006 Franklin St Se Ste 200, Huntsville, AL 35801-4537 | 2009-08-24 |
1861653263 | Nnenna Nkechinyere Aguocha | Radiology | 2006 Franklin St Se Ste 200, Huntsville, AL 35801-4537 | 2008-06-19 |
1891953816 | Ryan Redelman | Radiology | 2006 Franklin St Se Ste 200, Huntsville, AL 35801-4537 | 2008-05-27 |
1689794620 | Devin Vance Waldrop | Radiology | 2006 Franklin St Se Ste 200, Huntsville, AL 35801-4537 | 2007-03-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003422742 | Elena Mihaela Kruse | Nurse Practitioner | 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 | 2020-09-18 |
1225657661 | Ashley Danielle Ford | Student in an Organized Health Care Education/Training Program | 301 Governors Drive Se, Huntsville, AL 35801 | 2020-04-15 |
1407417702 | Sasha J White | Specialist | 410 Governors Dr. Sw, Huntsville, AL 35801 | 2019-06-26 |
1003472978 | Gina Marie Delgado | Nurse Practitioner | Huntsville Hospital Cvicu, 101 Sivley Rd., Huntsville, AL 35801 | 2019-05-15 |
1366909863 | Lisa Starkey Suggs | Nurse Practitioner | 3500 Memorial Parkway S.w., Huntsville, AL 35801 | 2019-02-21 |
1902373277 | Kelly S Fisher LLC | Counselor | 300 Clinton Avenue, Suite 22 A, Huntsville, AL 35801 | 2018-10-25 |
1073097911 | Brittani B Hamrick | Psychologist | 203 Eastside Sq Ste C9, Huntsville, AL 35801 | 2018-09-17 |
1548748312 | Jane O. Orton, Licsw, LLC | Social Worker | 120 Holmes Ave Ne, Huntsville, AL 35801 | 2018-08-02 |
1184100661 | Regroup Psychological Services | Psychologist | 2006 Franklin St. Se, Suite 110, Huntsville, AL 35801 | 2018-07-17 |
1366968398 | Bennett Brent Smith | Physician Assistant | 825 Adams St. Se, Huntsville, AL 35801 | 2017-08-22 |
Find all providers in zip 35801 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265703490 | Lowry Roy Young Jr. | Radiology | 2300 Covemont Dr., Huntsville, AL 35801 | 2012-01-19 |
1508945155 | Valerie M Johnson | Radiology | 4030 Balmoral Dr Sw, Huntsville, AL 35801-6402 | 2006-11-03 |
1497862528 | Ja Robles & Associates Inc | Radiology | 643a I-45 South, Huntsville, TX 77340 | 2006-08-24 |
1306870746 | Kevin L. Waldrop | Radiology | 2006 Franklin St Se Ste 200, Huntsville, AL 35801-4537 | 2006-07-10 |
1811945306 | Diagnostic Health Mri of Gadsden, LLC | Radiology | 115 Saint Clair Ave Se, Huntsville, AL 35801-4343 | 2006-05-05 |
1386608172 | David Lloyd Rex | Radiology | 1123 Rolling Springs Dr., Huntsville, TX 77340 | 2006-04-17 |
1740263268 | Christopher J Wright | Radiology | 643a Interstate 45 S, Huntsville, TX 77340-6434 | 2005-11-29 |
1801886080 | Bioimaging of Huntsville Inc | Radiology | 528 Madison St Se, Huntsville, AL 35801-4205 | 2005-10-27 |
1154733517 | David Jiwoong Kim | Radiology | 2006 Franklin St Se Ste 200, Huntsville, AL 35801-4537 | 2014-05-20 |
1225473325 | Carter Austin Pelham | Radiology | 2006 Franklin St Se Ste 200, Huntsville, AL 35801 | 2013-05-02 |
Find all providers in HUNTSVILLE |
City | HUNTSVILLE |
Zip Code | 35801 |
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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.