DR. BRAD H DOUGLAS MD NPI 1588625909

NPI Information

NPI: 1588625909
Provider Name: DR. BRAD H DOUGLAS, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
601 E ROLLINS ST
FLORIDA HOSPITAL OB SPECIALISTS
ORLANDO, FL
ZIP 32803
Phone: (407) 975-0406
Get Directions

DR. Brad H Douglas, MD is an obstetrics gynecology in Orlando, FL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. Brad H Douglas, MD NPI is 1588625909. 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:

601 E ROLLINS ST
FLORIDA HOSPITAL OB SPECIALISTS
ORLANDO, FL
ZIP 32803-248
Phone: (407) 975-0406
Fax: (407) 975-0407

The NPI 1588625909 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 3/28/2006 and was last updated on 1/27/2016.

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
1	207V00000X	Obstetrics & Gynecology		0101057909	VIRGINIA	No
2	2083A0100X	Preventive Medicine	Aerospace Medicine	0101057909	VIRGINIA	No
3	207V00000X	Obstetrics & Gynecology		51110	TENNESSEE	No
4	207V00000X	Obstetrics & Gynecology		2014-00156	NORTH CAROLINA	No
5	207V00000X	Obstetrics & Gynecology		ME118938	FLORIDA	Yes
6	207V00000X	Obstetrics & Gynecology		MD36587	SOUTH CAROLINA	No

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
1	1588625909	OTHER	VIRGINIA	VIRGINIA PREMIER HEALTH PLAN
2	PAR	OTHER	VIRGINIA	USA MANAGED CARE
3	507769	OTHER	VIRGINIA	ANTHEM BC/BS
4	PAR	OTHER	VIRGINIA	MULTIPLAN
5	VV3845C	MEDICARE PIN	VIRGINIA
6	1588625909	MEDICAID	VIRGINIA
7	-027	OTHER	VIRGINIA	TRICARE/CHAMPUS
8	1588625909	OTHER	VIRGINIA	UNITED HEALTHCARE
9	PAR	OTHER	VIRGINIA	AETNA
10	PAR	OTHER	VIRGINIA	CIGNA
11	PAR	OTHER	VIRGINIA	VIRGINIA HEALTH NETWORK
12	10124384	OTHER	VIRGINIA	OPTIMA HEALTH
13	1588625909	OTHER	VIRGINIA	COVENTRY NETWORK
14	1588625909	MEDICAID	NORTH CAROLINA

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: 11/14/2023

NPI Synchronization or Removal

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.

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