Coastal Radiation Oncology Assoc.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

028910 Issued in GA

Legal business name

COASTAL RADIATION ONCOLOGY ASSOC.

Practice address

2500 Starling St Ste 107
Brunswick, GA 31520-4266

Phone

(912) 466-5100

Fax

(912) 466-5113

NPI assigned

Mar 4, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bruce Gentry Tripp, M.D.NPI 1982661641

Title

President

Phone

(912) 554-2100

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bruce G Tripp, M.D

  • Radiation Oncology Physician
  • Brunswick, GA
  • NPI 1982661641
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1003086216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 PARKWOOD DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204720",
            "telephone_number": "912-554-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 STARLING ST STE 107",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204266",
            "telephone_number": "912-466-5100",
            "fax_number": "912-466-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL RADIATION ONCOLOGY ASSOC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "TRIPP",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "GENTRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-554-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "GA",
            "license": "028910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Angela Cobb
• Chelsea Cochran
• Patrick Hezekiah Cochran
• William D Cochran, O.D.

• Radiation Oncology Physician in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Radiation Oncology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.