JOSEPH C SULLIVAN M.D. NPI 1043303548

NPI Information

  • NPI: 1043303548
  • Provider Name: JOSEPH C SULLIVAN, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11375 CORTEZ BLVD
    BROOKSVILLE, FL
    ZIP 34613
  • Phone: (904) 236-5884

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NPI Details

Joseph C Sullivan, M.D. is a diagnostic radiology radiology in Brooksville, FL with 27 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Joseph C Sullivan, M.D. NPI is 1043303548. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11375 CORTEZ BLVD
BROOKSVILLE, FL
ZIP 34613-409
Phone: (904) 236-5884
Fax: (904) 346-4334

The NPI 1043303548 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, gadoterate meglumine, 0.1 ml (HCPCS:A9575)
  • Injection, gadobutrol, 0.1 ml (HCPCS:A9585)
  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Ct scan of face without contrast (HCPCS:70486)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • Ct scan of soft tissue of neck with contrast (HCPCS:70491)
  • Mri scan of middle spinal canal without contrast (HCPCS:72146)
  • Mri scan of lower spinal canal before and after contrast (HCPCS:72158)
  • Mri scan of middle spinal canal without contrast (HCPCS:72146)
  • Mri scan of blood vessels of head without contrast (HCPCS:70544)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • Mri scan of blood vessels of head without contrast (HCPCS:70544)
  • Mri scan of blood vessels of neck without contrast (HCPCS:70547)
  • Ct scan of soft tissue of neck with contrast (HCPCS:70491)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Ct scan of middle spine without contrast (HCPCS:72128)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • Mri scan of lower spinal canal before and after contrast (HCPCS:72158)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • Mri scan of upper spinal canal before and after contrast (HCPCS:72156)
  • Mri scan of upper spinal canal before and after contrast (HCPCS:72156)
  • Mri scan of blood vessels of neck without contrast (HCPCS:70547)
  • Ct scan of cranial cavity without contrast (HCPCS:70480)
  • Ct scan of face without contrast (HCPCS:70486)
  • Mri scan of middle spinal canal before and after contrast (HCPCS:72157)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Ct scan of soft tissue of neck without contrast (HCPCS:70490)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)

The enumeration date for this NPI number is 10/2/2006 and was last updated on 3/29/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085N0700XRadiologyNeuroradiology052837GEORGIANo
22085R0202XRadiologyDiagnostic Radiology54994TENNESSEENo
32085R0202XRadiologyDiagnostic Radiology24871ALABAMANo
42085R0202XRadiologyDiagnostic RadiologyME160669FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
104923068MEDICAIDMISSISSIPPI
2051543136OTHERALABAMABCBS
3051543144OTHERALABAMABCBS
4009942662MEDICAIDALABAMA
5009942659MEDICAIDALABAMA
6199147922AMEDICAIDGEORGIA
7009942658MEDICAIDALABAMA
8009942660MEDICAIDALABAMA
9051543137OTHERALABAMABCBS
10051543142OTHERALABAMABCBS
11P00406959OTHERALABAMARR MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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