EDWIN J FORTENBERY MD NPI 1073596789

NPI Information

  • NPI: 1073596789
  • Provider Name: EDWIN J FORTENBERY, MD
  • Classification: Radiology - 2085N0904X
  • Specialization: Nuclear Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 417 W 3RD AVE
    ALBANY, GA
    ZIP 31701
  • Phone: (706) 653-1088

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NPI Details

Edwin J Fortenbery, MD is a nuclear radiology radiology in Albany, GA with 42 years of experience. The provider is a radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. Edwin J Fortenbery, MD NPI is 1073596789. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1984

The provider's business location address is:

417 W 3RD AVE
ALBANY, GA
ZIP 31701-943
Phone: (706) 653-1088
Fax: (706) 653-1162

The NPI 1073596789 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 without contrast (HCPCS:70450)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of chest with contrast (HCPCS:71260)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of chest without contrast (HCPCS:71250)

The enumeration date for this NPI number is 11/28/2005 and was last updated on 9/11/2025.

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
12085R0202XRadiologyDiagnostic Radiology045221GEORGIANo
22085R0204XRadiologyVascular & Interventional Radiology045221GEORGIANo
32085N0700XRadiologyNeuroradiology045221GEORGIANo
42085P0229XRadiologyPediatric Radiology045221GEORGIANo
52085N0904XRadiologyNuclear Radiology045221GEORGIAYes

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
1BCBSOTHERGEORGIA52584721 013

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: 11/21/2025

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