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SAMUEL WALTON FAIRBROTHER NPI 1346530284


NPI Information

NPI: 1346530284
Provider Name: SAMUEL WALTON FAIRBROTHER
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
210 25TH AVE N STE 1204
NASHVILLE, TN
ZIP 37203
Phone: (615) 312-0600
Get Directions

Samuel Walton Fairbrother is a diagnostic radiology radiology in Nashville, TN with 13 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Samuel Walton Fairbrother NPI is 1346530284. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduation Year:2011

The provider's business location address is:

210 25TH AVE N STE 1204
NASHVILLE, TN
ZIP 37203-620
Phone: (615) 312-0600
Fax: (615) 320-3259

The NPI 1346530284 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.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan head or brain (HCPCS:70450)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan chest (HCPCS:71250)
  • Ct scan of abdomen and pelvis (HCPCS:74176)
  • X-ray of hip with pelvis, 2-3 views (HCPCS:73502)
  • Nuclear medicine study with ct imaging skull base to mid-thigh (HCPCS:78815)
  • Bone and/or joint imaging, whole body (HCPCS:78306)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Ultrasound study of arteries and arterial grafts of one leg or limited (HCPCS:93926)
  • Ultrasound study of arteries and arterial grafts of both legs (HCPCS:93925)
  • Ct scan of face (HCPCS:70486)
  • Radiological supervision and interpretation of ct guidance for needle insertion (HCPCS:77012)
  • Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)

The enumeration date for this NPI number is 4/12/2011 and was last updated on 3/3/2021.


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
12085R0202XRadiologyDiagnostic Radiology56941TENNESSEEYes

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
1Q036873MEDICAIDTENNESSEE

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

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