Dothan Neurodiagnostic Center PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

11321 Issued in AL

Legal business name

DOTHAN NEURODIAGNOSTIC CENTER PC

Practice address

1800 Fairview Ave
Suite 1
Dothan, AL 36301-3058

Phone

(334) 793-1703

Fax

(334) 793-9314

NPI assigned

Oct 28, 2008

Last updated

Oct 28, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alan D Prince, MDNPI 1376593681

Title

Owner

Phone

(334) 793-1703

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, and the practitioner matching its NPPES authorized official.

• Alan David Prince, M.D.

  • Neurology Physician
  • Dothan, AL
  • NPI 1376593681
  Authorized official Same address or phone

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1043463557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 FAIRVIEW AVE",
            "address_2": "SUITE 1",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013058",
            "telephone_number": "334-793-1703",
            "fax_number": "334-793-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 FAIRVIEW AVE",
            "address_2": "SUITE 1",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013058",
            "telephone_number": "334-793-1703",
            "fax_number": "334-793-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOTHAN NEURODIAGNOSTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-793-1703",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AL",
            "license": "11321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dothan Internal Medicine
• Dothan Internal Medicine, LLC
• Dothan Massage School
• Dothan Medical Associates, P.C.
• Dothan Medical Associates, P.C.
• Dothan Neurology Clinic, PC
• Dothan OBGYN, Inc.
• Dothan Ophthalmology
• Dothan Pain Center LLC
• Dothan Pediatric Clinic, P. a.

• Neurology Physician in Dothan, AL
• Providers in Dothan, AL by specialty
• Neurology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.