George Bruce Head III, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

7575 Issued in AL

Practice address

1102 Goodyear Ave
Gadsden, AL 35903-2008

Phone

(256) 492-9924

Fax

(256) 492-9965

NPI assigned

May 19, 2006

Last updated

Dec 17, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1043263908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 GOODYEAR AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359032008",
            "telephone_number": "256-492-9924",
            "fax_number": "256-492-9965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 GOODYEAR AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359032008",
            "telephone_number": "256-492-9924",
            "fax_number": "256-492-9965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEAD",
        "first_name": "GEORGE",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AL",
            "license": "7575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000088865",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alcv@195.direct.myezyaccess",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "1102 Goodyear Ave",
            "city": "Gadsden",
            "state": "AL",
            "country_code": "US",
            "postal_code": "359032008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brian Wesley Haskins, D.P.T.
• Linda Havas, RPT
• John Randolph Hawkins, D.M.D.,P.A.
• Frances Martin Hayes Jr., M.D.
• Philip Authur Haynes, L.G.S.W.
• Healing Hearts Home Care
• Healing Season Counseling LLC
• Healthstat Onsite Clinic Goodyear Gadsden
• Heart of Rainbows LLC
• Belinda Kaye Heath, MDA, RD, LD

• Cardiovascular Disease Physician in Gadsden, AL
• Providers in Gadsden, AL by specialty
• Cardiovascular Disease Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.