DR. MICHEAL CORY DEARBORN DO NPI 1528569902

NPI Information

  • NPI: 1528569902
  • Provider Name: DR. MICHEAL CORY DEARBORN, DO
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3551 ROGER BROOKE DR
    SAN ANTONIO, TX
    ZIP 78234
  • Phone: (210) 220-8617

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NPI Details

DR. Micheal Cory Dearborn, DO is a diagnostic radiology radiology in San Antonio, TX with 8 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Micheal Cory Dearborn, DO NPI is 1528569902. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Graduation Year:2018

The provider's business location address is:

3551 ROGER BROOKE DR
SAN ANTONIO, TX
ZIP 78234
Phone: (210) 220-8617

The NPI 1528569902 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 enumeration date for this NPI number is 2/22/2018 and was last updated on 2/24/2025.

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
1207U00000XNuclear MedicineDO2965MAINENo
22085N0904XRadiologyNuclear RadiologyV5255TEXASNo
32085R0202XRadiologyDiagnostic RadiologyDO2965MAINENo
42085R0202XRadiologyDiagnostic RadiologyV5255TEXASYes

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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