NPIMap

Individual provider Active NPI

Brian David Dearing, MD

  • Interventional Cardiology Physician
  • Fairhope, AL
National Provider Identifier
1164478178
Registry record updated Apr 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
00021718 Issued in AL
Practice address
188 Hospital Dr
Suite 100
Fairhope, AL 36532-2043
Phone
(251) 990-9500
Fax
(251) 990-9501
NPI assigned
May 25, 2006
Last updated
Apr 24, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 00021718 AL
Interventional Cardiology Physician 207RI0011X 00021718 AL Primary

Addresses

Primary practice location

188 Hospital Dr
Suite 100
Fairhope, AL 36532-2043

Mailing address

6701 Airport Blvd
Suite D-330
Mobile, AL 36608-6705
Phone (251) 607-9797

Other identifiers 3

IdentifierTypeStateIssuer
119294MedicaidMS
000076765MedicaidAL
510-76765OtherALBLUE CROSS BLUE SHIELD

Other names 1

  • Dr. Brian D. Dearing Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100513000008 AL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 1153216908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Louisiana State University School of Medicine in New Orleans, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

188 Hospital Dr
Suite 100
Fairhope, AL 36532-2038
Phone (251) 990-9500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting99
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00021718ALMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Associates of Mobile Inc Cardiovascular Disease CurrentSince Jul 1, 1998 Accepting new patients
Cardiology Associates of Mobile Inc CurrentSince Jul 1, 1998 Accepting new patients

Locations

188 Hospital Dr
Ste 100
Fairhope, AL 36532
Phone (251) 607-9797

1721 N McKenzie St
Foley, AL 36535
Phone (251) 607-9797

6701 Airport Blvd
Ste D330
Mobile, AL 36608
Phone (251) 607-9797

Interoperability endpoints

  • Direct secure messaging: bdearing@yourcarecommunity.org
  • Direct secure messaging: briandearing@cam.allscriptsdirect.net
  • FHIR API: https://fhir.cardassoc.com/R4/open-R4

Organizations & group practices 2

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

Hospital & facility affiliations 6

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429833600000",
    "number": "1164478178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD",
            "address_2": "SUITE D-330",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366086705",
            "telephone_number": "251-607-9797",
            "fax_number": "251-607-9761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 HOSPITAL DR",
            "address_2": "SUITE 100",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322043",
            "telephone_number": "251-990-9500",
            "fax_number": "251-990-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEARING",
        "first_name": "BRIAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2015-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AL",
            "license": "00021718",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AL",
            "license": "00021718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119294",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000076765",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "510-76765",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIAN",
            "last_name": "DEARING",
            "middle_name": "D.",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fairhope, AL

Sources for this page

Verify at the official NPI Registry.