DR. JOHN DUDLEY M.D. NPI 1679923254

NPI Information

  • NPI: 1679923254
  • Provider Name: DR. JOHN DUDLEY, M.D.
  • Classification: Internal Medicine - 207RI0011X
  • Specialization: Interventional Cardiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 320 RACETRACK RD NW STE 100D
    FORT WALTON BEACH, FL
    ZIP 32547
  • Phone: (448) 202-6100

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NPI Details

DR. John Dudley, M.D. is an interventional cardiology internal medicine in Fort Walton Beach, FL with 10 years of experience. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. DR. John Dudley, M.D. NPI is 1679923254. 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:

320 RACETRACK RD NW STE 100D
FORT WALTON BEACH, FL
ZIP 32547-796
Phone: (448) 202-6100
Fax: (448) 202-6101

The NPI 1679923254 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.

  • Coronary angioplasty and stenting (HCPCS:NAN05)
  • Pacemaker insertion or repair (HCPCS:NAN10)

The enumeration date for this NPI number is 6/15/2016 and was last updated on 11/18/2025.

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
1207RI0011XInternal MedicineInterventional CardiologyME162979FLORIDAYes
2207RC0000XInternal MedicineCardiovascular DiseaseME162979FLORIDANo
3207R00000XInternal MedicineLP03806RHODE ISLANDNo

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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