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DAVID CHARLES DOUGHERTY M.D. NPI 1205858917


NPI Information

NPI: 1205858917
Provider Name: DAVID CHARLES DOUGHERTY, M.D.
Classification: Internal Medicine - 207R00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
3838 SAN DIMAS ST
SUITE A200
BAKERSFIELD, CA
ZIP 93301
Phone: (661) 654-0200
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David Charles Dougherty, M.D. is an internal medicine in Bakersfield, CA with 27 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. David Charles Dougherty, M.D. NPI is 1205858917. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduation Year:1997

The provider's business location address is:

3838 SAN DIMAS ST
SUITE A200
BAKERSFIELD, CA
ZIP 93301-284
Phone: (661) 654-0200
Fax: (661) 664-2855

The NPI 1205858917 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.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Routine ekg using at least 12 leads including interpretation and report (HCPCS:93000)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Urinalysis, manual test (HCPCS:81002)

The enumeration date for this NPI number is 7/24/2006 and was last updated on 7/31/2014.


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
1207RA0000XInternal MedicineAdolescent MedicineG47681CALIFORNIANo
2207RA0201XInternal MedicineAllergy & ImmunologyG47681CALIFORNIANo
3207RC0000XInternal MedicineCardiovascular DiseaseG47681CALIFORNIANo
4207RC0200XInternal MedicineCritical Care MedicineG47681CALIFORNIANo
5207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismG47681CALIFORNIANo
6207RG0100XInternal MedicineGastroenterologyG47681CALIFORNIANo
7207RG0300XInternal MedicineGeriatric MedicineG47681CALIFORNIANo
8207RH0003XInternal MedicineHematology & OncologyG47681CALIFORNIANo
9207RI0008XInternal MedicineHepatologyG47681CALIFORNIANo
10207RI0200XInternal MedicineInfectious DiseaseG47681CALIFORNIANo
11207RN0300XInternal MedicineNephrologyG47681CALIFORNIANo
12207RP1001XInternal MedicinePulmonary DiseaseG47681CALIFORNIANo
13207RR0500XInternal MedicineRheumatologyG47681CALIFORNIANo
14207RS0010XInternal MedicineSports MedicineG47681CALIFORNIANo
15207R00000XInternal MedicineG47681CALIFORNIAYes

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
1G476810OTHERCALIFORNIAMEDICAL
2ZZZ 18865ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
3A50774MEDICARE UPINCALIFORNIA

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.