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JOSEPH C SULLIVAN M.D. NPI 1043303548


NPI Information

NPI: 1043303548
Provider Name: JOSEPH C SULLIVAN, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
11375 CORTEZ BLVD
BROOKSVILLE, FL
ZIP 34613
Phone: (904) 236-5884
Get Directions

Joseph C Sullivan, M.D. is a diagnostic radiology radiology in Brooksville, FL with 26 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.

  • Ct scan head or brain (HCPCS:70450)
  • Ct scan of face (HCPCS:70486)
  • X-ray of chest, 1 view (HCPCS:71045)

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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther 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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.