Individual provider Active NPI

Jason Bradley Crowder, M.D.

  • Diagnostic Radiology Physician
  • Gulfport, MS
National Provider Identifier
1114988086
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
00026357 Issued in AL
Practice address
14245 Dedeaux Rd
Gulfport, MS 39503-3369
Phone
(228) 314-7226
Fax
(228) 314-7227
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 00026357 AL
Diagnostic Radiology Physician 2085R0202X 00026357 AL Primary
Body Imaging Physician 2085B0100X ME144489 FL
Vascular & Interventional Radiology Physician 2085R0204X 00026357 AL
Diagnostic Radiology Physician 2085R0202X ME144489 FL

Addresses

Primary practice location

14245 Dedeaux Rd
Gulfport, MS 39503-3369

Mailing address

PO Box 604
Biloxi, MS 39533-0604
Phone (251) 591-9769

Other practice location 1

1005 Mar Walt Dr
Fort Walton Beach, FL 32547-6707
Phone (228) 731-7114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AL, FL, MI, LA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20080812000118 MS Practitioner - Diagnostic Radiology 6800960790 Reassigns benefits to 1 organization
I20180807001808 AL Practitioner - Diagnostic Radiology 6800960790 Reassigns benefits to 3 organizations
I20210907000924 FL Practitioner - Diagnostic Radiology 6800960790 Reassigns benefits to 2 organizations
I20211025000486 MI Practitioner - Diagnostic Radiology 6800960790 Reassigns benefits to 1 organization
I20240219002884 LA Practitioner - Diagnostic Radiology 6800960790

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of South Alabama College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
White-Wilson Medical Center PAGroup PAC ID 4082510607, 48 clinicians
Northland Radiology IncGroup PAC ID 7719884741, 16 clinicians
USA Health Physician Billing Services LLCGroup PAC ID 9931436912, shared by 4 NPIs, 342 clinicians

Practice addresses (Care Compare)

2001 E Hwy 20
Niceville, FL 32578-8826
Phone (850) 897-4400

20905 Greenfield Rd
Suite 105
Southfield, MI 48075-5344
Phone (248) 569-0296

75 S University Blvd
Unit 6000
Mobile, AL 36608-3274
Phone (251) 660-5555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.28 of 100Reported as group
Quality
85.81
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME144489FLMDBody Imaging Physician
00026357ALMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Services of North Carolina, LLC Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
USA Health Physician Billing Services LLC Diagnostic Radiology CurrentSince Apr 1, 2020 Accepting new patients
Oia of Fort Walton Diagnostic Radiology CurrentSince Aug 28, 2023 Accepting new patients
University of South Alabama CurrentSince Aug 1, 2018 Accepting new patients
Pinnacle Health Services of North Carolina, LLC Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
USA Health Physician Billing Services LLC Family Medicine CurrentSince Oct 1, 2019 Accepting new patients
Northland Radiology Inc. General Practice CurrentSince Aug 25, 2021 Accepting new patients
White-Wilson Medical Center PA CurrentSince Dec 31, 2024 Accepting new patients
Pinnacle Health Services of North Carolina, LLC Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Pinnacle Health Services of North Carolina LLC Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
University of South Alabama Family Medicine CurrentSince Aug 1, 2018 Accepting new patients
USA Health Physician Billing Services LLC Diagnostic Radiology CurrentSince Oct 1, 2019 Accepting new patients
University of South Alabama Family Medicine Current Accepting new patients
Brier Creek Imaging, LLC Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Northland Radiology Inc Diagnostic Radiology CurrentSince Aug 25, 2021 Accepting new patients

Locations

1660 Spring Hill Ave
Ste 3069
Mobile, AL 36604
Phone (251) 445-8405

1700 Center St
Mobile, AL 36604
Phone (251) 415-1000

2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711

2451 University Hospital Dr
Mobile, AL 36617
Phone (251) 471-7000

75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555

1660 Spring Hill Ave
Mobile, AL 36604
Phone (251) 445-9616

75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282

575 Stanton Rd
Mobile, AL 36617
Phone (251) 471-7207

424 Racetrack Rd NW
Ft Walton Bch, FL 32547
Phone (850) 314-7575

999 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 862-2912

1005 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 863-8100

2001 E Highway 20
Niceville, FL 32578
Phone (850) 897-4400

26222 Telegraph Rd
Ste 100
Southfield, MI 48033
Phone (248) 827-3024

20905 Greenfield Rd
Ste 105
Southfield, MI 48075
Phone (248) 569-0296

20905 Greenfield Rd
Ste 406M
Southfield, MI 48075
Phone (248) 513-8229

26222 Telegraph Rd
Southfield, MI 48033
Phone (248) 827-2557

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 17

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1114988086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395330604",
            "telephone_number": "251-591-9769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14245 DEDEAUX RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033369",
            "telephone_number": "228-314-7226",
            "fax_number": "228-314-7227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1005 Mar Walt Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325476707",
            "country_code": "US",
            "telephone_number": "228-731-7114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROWDER",
        "first_name": "JASON",
        "middle_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "00026357",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "00026357",
            "primary": true
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "FL",
            "license": "ME144489",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "AL",
            "license": "00026357",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME144489",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.