| Physical Express | |
|
4081 Alabama Hwy 14 Millbrook AL 36054 | |
| (334) 285-3222 | |
| (334) 285-6555 |
| Full Name | Physical Express |
|---|---|
| Speciality | Family Medicine |
| Location | 4081 Alabama Hwy 14, Millbrook, Alabama |
| Authorized Official Name and Position | Jade Lane (CREDENTIALING MANAGER) |
| Authorized Official Contact | 3345674311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Physical Express Po Box 688 Millbrook AL 36054-0014 Ph: (334) 285-3222 | Physical Express 4081 Alabama Hwy 14 Millbrook AL 36054 Ph: (334) 285-3222 |
| NPI Number | 1043362734 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 03/20/2025 |
| Certification Date | 03/20/2025 |
| Medicare PECOS PAC ID | 3476531039 |
|---|---|
| Medicare Enrollment ID | O20050720000998 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043362734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Colin Stewart |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093710832 PECOS PAC ID: 1456341858 Enrollment ID: I20040517001137 |
| Provider Name | Bruce a Kent |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336229608 PECOS PAC ID: 6103896220 Enrollment ID: I20040727001340 |
| Provider Name | Bibb Allen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538164785 PECOS PAC ID: 7810801545 Enrollment ID: I20050314000838 |
| Provider Name | Todd C Brightbill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619972874 PECOS PAC ID: 9537073168 Enrollment ID: I20050314000914 |
| Provider Name | Kristopher N Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750342556 PECOS PAC ID: 3375599418 Enrollment ID: I20050322001057 |
| Provider Name | Bradford E Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093996316 PECOS PAC ID: 7719920545 Enrollment ID: I20050602001050 |
| Provider Name | Matthew Larrison |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881659407 PECOS PAC ID: 8729099494 Enrollment ID: I20060509000504 |
| Provider Name | Joel a Mixon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043261969 PECOS PAC ID: 5496767782 Enrollment ID: I20060705000275 |
| Provider Name | Gerald a Sweeney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003974551 PECOS PAC ID: 6103953096 Enrollment ID: I20100426000085 |
| Provider Name | Marcial J Mendez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407870504 PECOS PAC ID: 0547245573 Enrollment ID: I20100505000014 |
| Provider Name | Julia Morris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699956623 PECOS PAC ID: 6709042971 Enrollment ID: I20120717000342 |
| Provider Name | Katherine B Windham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942296512 PECOS PAC ID: 2163688813 Enrollment ID: I20120724000618 |
| Provider Name | Mathieu Nader |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306003579 PECOS PAC ID: 2062652233 Enrollment ID: I20131216000241 |
| Provider Name | Manish Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205070851 PECOS PAC ID: 5991944068 Enrollment ID: I20140503000026 |
| Provider Name | Matthew D Dobbs |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497935837 PECOS PAC ID: 7719094168 Enrollment ID: I20140610001835 |
| Provider Name | Elizabeth Rena Bacchus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578952206 PECOS PAC ID: 9436479110 Enrollment ID: I20150520001319 |
| Provider Name | Maximilian Pyko |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477782969 PECOS PAC ID: 0648585810 Enrollment ID: I20150817002431 |
| Provider Name | Leslie Pendergrass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639541857 PECOS PAC ID: 1456661974 Enrollment ID: I20151112000584 |
| Provider Name | William Gallmann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033436860 PECOS PAC ID: 6608000609 Enrollment ID: I20160425001637 |
| Provider Name | Marlene L Wilson-lavalley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275919698 PECOS PAC ID: 9436454741 Enrollment ID: I20160812001570 |
| Provider Name | Daniel Israel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568721991 PECOS PAC ID: 0143464412 Enrollment ID: I20170831002922 |
| Provider Name | Christina Elizabeth Brady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386173060 PECOS PAC ID: 7618240136 Enrollment ID: I20170906000412 |
| Provider Name | Desmin Milner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740549187 PECOS PAC ID: 5294975975 Enrollment ID: I20170908002264 |
| Provider Name | Jennifer Hobbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518481050 PECOS PAC ID: 0345509915 Enrollment ID: I20180108000841 |
| Provider Name | Jeffrey D Stevens |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164868212 PECOS PAC ID: 6608157664 Enrollment ID: I20180724001673 |
| Provider Name | Cory Allen Luckie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457708166 PECOS PAC ID: 5890071914 Enrollment ID: I20180927003316 |
| Provider Name | Brian Kenneth Wood |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1659799237 PECOS PAC ID: 2264730050 Enrollment ID: I20190124003944 |
| Provider Name | Jessica Elizabeth Robbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447725080 PECOS PAC ID: 1052648516 Enrollment ID: I20190807001700 |
| Provider Name | Nathan R Hewlett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770927287 PECOS PAC ID: 6406184449 Enrollment ID: I20200519001010 |
| Provider Name | Chad Steven Cox |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518385384 PECOS PAC ID: 5597096776 Enrollment ID: I20200618003156 |
| Provider Name | Hali N Pearce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063973675 PECOS PAC ID: 7911235031 Enrollment ID: I20210128000697 |
| Provider Name | Jonathan T Marshall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952549644 PECOS PAC ID: 9830346006 Enrollment ID: I20210908003275 |
| Provider Name | Luke Andrew Foshee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497304299 PECOS PAC ID: 5597158071 Enrollment ID: I20220204000856 |
| Provider Name | Katie Shiver Googe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093327199 PECOS PAC ID: 9234523242 Enrollment ID: I20220308000449 |
| Provider Name | Brent Jordan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194107839 PECOS PAC ID: 6709204639 Enrollment ID: I20220802001973 |
| Provider Name | Bosten S Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932554896 PECOS PAC ID: 8022304666 Enrollment ID: I20240506004583 |
| Provider Name | Michael Z Kalter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619998028 PECOS PAC ID: 5294806691 Enrollment ID: I20240522002361 |
| Provider Name | Justin Owens |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457858698 PECOS PAC ID: 0244691210 Enrollment ID: I20240617004064 |
| Provider Name | Charles V Gaston |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1073990644 PECOS PAC ID: 6002116035 Enrollment ID: I20240712001194 |
| Provider Name | Marshall J Hutchison |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1447783717 PECOS PAC ID: 4981958501 Enrollment ID: I20240724002842 |
| Provider Name | Stephen S Johnston |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730525841 PECOS PAC ID: 0042574048 Enrollment ID: I20240816000185 |
| Provider Name | Robert K Hang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407149941 PECOS PAC ID: 6002105624 Enrollment ID: I20240816000527 |
| Provider Name | Satyam Veean |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447785480 PECOS PAC ID: 3779856653 Enrollment ID: I20240819000121 |
| Provider Name | Ayushman Sharma |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104263839 PECOS PAC ID: 5890935001 Enrollment ID: I20240819000643 |
| Provider Name | Abhimanyu Aggarwal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447605704 PECOS PAC ID: 7618365511 Enrollment ID: I20240819001976 |
| Provider Name | Mina Tadros |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356791206 PECOS PAC ID: 6103107453 Enrollment ID: I20240904001966 |
| Provider Name | Jon S Mather |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932465812 PECOS PAC ID: 9436424405 Enrollment ID: I20250122000192 |
| Provider Name | Sankaman Praisoody |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285838862 PECOS PAC ID: 5092991208 Enrollment ID: I20250313000722 |
| Provider Name | Michael D Lloyd |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982801700 PECOS PAC ID: 6709051899 Enrollment ID: I20250319000949 |
| Provider Name | Shankar Iyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568027860 PECOS PAC ID: 3476070129 Enrollment ID: I20250507000567 |
| Provider Name | Christopher B Nelson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700096435 PECOS PAC ID: 8729266424 Enrollment ID: I20250509000092 |
| Provider Name | Dana Bonaminio |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659606788 PECOS PAC ID: 9032355870 Enrollment ID: I20250512000767 |
| Provider Name | Kevin Cunneely |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356389597 PECOS PAC ID: 9830100767 Enrollment ID: I20250512001608 |
| Provider Name | David Sarver |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750624144 PECOS PAC ID: 7416273883 Enrollment ID: I20250513000105 |
| Provider Name | Stephen Cole |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740609684 PECOS PAC ID: 5890098180 Enrollment ID: I20250513000780 |
| Provider Name | Lee H Rogers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720286487 PECOS PAC ID: 1456443787 Enrollment ID: I20250513002439 |
| Provider Name | Alyson Singh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770945966 PECOS PAC ID: 8820497704 Enrollment ID: I20250513003197 |
| Provider Name | Paul Yager |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790305282 PECOS PAC ID: 8921526963 Enrollment ID: I20250514001238 |
| Provider Name | Gabriel Starace |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992960298 PECOS PAC ID: 1052557907 Enrollment ID: I20250514001881 |
| Provider Name | Neal Langdon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376986828 PECOS PAC ID: 3678875283 Enrollment ID: I20250514002276 |
| Provider Name | Steven T Shaba |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396909255 PECOS PAC ID: 4284804022 Enrollment ID: I20250514003184 |
| Provider Name | Reagan Leverett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902953870 PECOS PAC ID: 9133290562 Enrollment ID: I20250515002506 |
| Provider Name | Vineet Sharma |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508804337 PECOS PAC ID: 5597710863 Enrollment ID: I20250516000091 |
| Provider Name | Leomar Bautista |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477930337 PECOS PAC ID: 0042632226 Enrollment ID: I20250516002322 |
| Provider Name | Jeffrey M Huggett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447299698 PECOS PAC ID: 5092618256 Enrollment ID: I20250519003067 |
| Provider Name | Winslett Magee Cox |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376987362 PECOS PAC ID: 8820379795 Enrollment ID: I20250520002566 |
| Provider Name | James West |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245596014 PECOS PAC ID: 2466759642 Enrollment ID: I20250520004330 |
| Provider Name | Timothy Carter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053369413 PECOS PAC ID: 2062422611 Enrollment ID: I20250520004673 |
| Provider Name | Stephen M Fisher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184990574 PECOS PAC ID: 9830466101 Enrollment ID: I20250520004944 |
| Provider Name | Michael C Cian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902845118 PECOS PAC ID: 7810899499 Enrollment ID: I20250521003530 |
| Provider Name | Aftab Haq |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326302985 PECOS PAC ID: 8426341728 Enrollment ID: I20250529003533 |
| Provider Name | Lauren Gates |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811343015 PECOS PAC ID: 5799078879 Enrollment ID: I20250530000406 |
| Provider Name | Kenneth E Briley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881199669 PECOS PAC ID: 6305196791 Enrollment ID: I20250603000513 |
| Provider Name | Sean Biggs |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518282441 PECOS PAC ID: 7113151697 Enrollment ID: I20250603002326 |
| Provider Name | John E Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174937072 PECOS PAC ID: 5698045375 Enrollment ID: I20250605002191 |
| Provider Name | Michael Cellini |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831583939 PECOS PAC ID: 6305137340 Enrollment ID: I20250605002444 |
| Provider Name | Mir Z Alikhan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790747921 PECOS PAC ID: 5991741407 Enrollment ID: I20250609000773 |
| Provider Name | Nicholas a Cassuto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699112060 PECOS PAC ID: 6608130935 Enrollment ID: I20250610000484 |
| Provider Name | Viraj Parikh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134321235 PECOS PAC ID: 5496895898 Enrollment ID: I20250611001098 |
| Provider Name | Andrew Hutchens |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215257670 PECOS PAC ID: 5698081966 Enrollment ID: I20250616000243 |
| Provider Name | Amer a Haque |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760672026 PECOS PAC ID: 8022259258 Enrollment ID: I20250618000737 |
| Provider Name | Francisco Contreras |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184034118 PECOS PAC ID: 2860817533 Enrollment ID: I20250626002015 |
| Provider Name | Marcelo Ribeiro |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750648507 PECOS PAC ID: 8921389040 Enrollment ID: I20250714003881 |
| Provider Name | Akshita Mehta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679927776 PECOS PAC ID: 5698170371 Enrollment ID: I20250714004028 |
| Provider Name | Thach K Huynh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902164825 PECOS PAC ID: 6901187871 Enrollment ID: I20250723000502 |
| Provider Name | Salik Nazeer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831517770 PECOS PAC ID: 3779825799 Enrollment ID: I20250723000882 |
| Provider Name | Yao Chen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346566734 PECOS PAC ID: 2264747187 Enrollment ID: I20250723001031 |
| Provider Name | Timothy P Ripple |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033161856 PECOS PAC ID: 7416950498 Enrollment ID: I20250723001282 |
| Provider Name | Michael Rolen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730316118 PECOS PAC ID: 8022330893 Enrollment ID: I20250723001441 |
| Provider Name | Angela Schilsky |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750591475 PECOS PAC ID: 1850462839 Enrollment ID: I20250723001577 |
| Provider Name | Frederick Kash |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023070737 PECOS PAC ID: 4385680800 Enrollment ID: I20250724000170 |
| Provider Name | Samuel K Dawn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295797322 PECOS PAC ID: 1456301126 Enrollment ID: I20250808003191 |
| Provider Name | Lukas Burton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548224322 PECOS PAC ID: 9739199712 Enrollment ID: I20250811002727 |
| Provider Name | Garrett Simmons |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982047346 PECOS PAC ID: 7012247802 Enrollment ID: I20250820001667 |
| Provider Name | Rajesh Gogia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679528467 PECOS PAC ID: 9032212006 Enrollment ID: I20250902002286 |
| Provider Name | Alex Dalke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518370113 PECOS PAC ID: 7416238654 Enrollment ID: I20250915004284 |
| Provider Name | James Sluss |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245261783 PECOS PAC ID: 2163405283 Enrollment ID: I20251005000267 |
| Provider Name | Kenneth Close |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295798825 PECOS PAC ID: 6507803632 Enrollment ID: I20251005000275 |
| Provider Name | Almas Syed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821358698 PECOS PAC ID: 0345541017 Enrollment ID: I20251013002091 |
| Provider Name | James B Vogler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326401514 PECOS PAC ID: 2062707227 Enrollment ID: I20251015001875 |
| Provider Name | Joseph Zikria |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518100213 PECOS PAC ID: 3971817024 Enrollment ID: I20251220000770 |
| Provider Name | Steven Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053390849 PECOS PAC ID: 3678487360 Enrollment ID: I20251228000193 |
| Provider Name | Joel Thomas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275675092 PECOS PAC ID: 9133360803 Enrollment ID: I20251230001885 |
| Provider Name | Charles J Lugo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033537857 PECOS PAC ID: 1254752595 Enrollment ID: I20260102003641 |
| Provider Name | Kasra Rahbar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902293285 PECOS PAC ID: 2466873153 Enrollment ID: I20260104000013 |
| Provider Name | Ahmed Minhas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912468687 PECOS PAC ID: 4082157102 Enrollment ID: I20260108003885 |
| Provider Name | Daniel Harwood |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851787303 PECOS PAC ID: 6406169044 Enrollment ID: I20260114002364 |
| Provider Name | Brian R Krause |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487858270 PECOS PAC ID: 5799156998 Enrollment ID: I20260121002180 |
| Provider Name | Emil Hurst |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891717716 PECOS PAC ID: 9537056973 Enrollment ID: I20260122000198 |
| Provider Name | John Dean |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720008394 PECOS PAC ID: 6507812203 Enrollment ID: I20260122002782 |
| Provider Name | Sen Lu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033643697 PECOS PAC ID: 9638523921 Enrollment ID: I20260127003032 |
| Provider Name | Dev K Arwikar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336595974 PECOS PAC ID: 4789062225 Enrollment ID: I20260128001847 |
| Provider Name | Jaime Ibanez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033616396 PECOS PAC ID: 8628498227 Enrollment ID: I20260128003434 |
| Provider Name | Stephen Kennedy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407821424 PECOS PAC ID: 8426090754 Enrollment ID: I20260129000504 |
| Provider Name | Sreechandra K Donepudi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578686242 PECOS PAC ID: 0941354195 Enrollment ID: I20260202002297 |
| Provider Name | Haider Virani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366707564 PECOS PAC ID: 3870805286 Enrollment ID: I20260202002433 |
| Provider Name | Tyson Hale |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205809357 PECOS PAC ID: 0345222667 Enrollment ID: I20260202002524 |
| Provider Name | Gaurav Sharan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457709628 PECOS PAC ID: 0345511689 Enrollment ID: I20260202002768 |
| Provider Name | Tyler Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336645191 PECOS PAC ID: 6406213552 Enrollment ID: I20260212000817 |
| Provider Name | Richard E Lowe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700999216 PECOS PAC ID: 9032012380 Enrollment ID: I20260227000723 |
| Provider Name | Stefan Friemel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487946463 PECOS PAC ID: 6507150463 Enrollment ID: I20260302003269 |
| Provider Name | Naomi Kis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033746417 PECOS PAC ID: 0840618468 Enrollment ID: I20260303004321 |
| Provider Name | Zachary Edward Brown |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023212214 PECOS PAC ID: 0840340741 Enrollment ID: I20260304001856 |
| Provider Name | Harrison Klause |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003301037 PECOS PAC ID: 3678934361 Enrollment ID: I20260309002999 |
| Provider Name | James a Gehl |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700066800 PECOS PAC ID: 3375787138 Enrollment ID: I20260310000839 |
| Provider Name | Michael Y Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619497567 PECOS PAC ID: 0840560777 Enrollment ID: I20260313003312 |
Mainstreet Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 Highway 14, Millbrook, AL 36054 Phone: 256-854-9989 |
Marla H Wohlman MD PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3351 Main St, Millbrook, AL 36054 Phone: 334-285-7808 Fax: 334-285-7810 |
Annie R. Tan, M.D. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5300 Oak Tree Rd, Ste H, Millbrook, AL 36054 Phone: 334-285-8282 Fax: 334-261-6113 |
Millbrook Family Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2588 Main St, Millbrook, AL 36054 Phone: 334-285-5703 Fax: 334-285-5705 |
Central Alabama Medical Contractors, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 Kelley Blvd Ste D, Millbrook, AL 36054 Phone: 334-245-2600 Fax: 334-245-2610 |