Active NPI
Stephen W. Brown and Radiology Associates of Augusta LLP
- Diagnostic Radiology Physician
- Augusta, GA
National Provider Identifier
1265540314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 017192
- Legal business name
- STEPHEN W. BROWN AND RADIOLOGY ASSOCIATES OF AUGUSTA LLP
- Practice address
- 818 Saint Sebastian Way
Suite 100
Augusta, GA 30901-2651 - Phone
- (706) 722-3574
- NPI assigned
- Aug 28, 2006
- Last updated
- May 13, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Huey G Bullock, MD
- Title
- MD / Partner
- Phone
- (706) 737-4575
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | 017192 | GA | |
| Neuroradiology Physician | 2085N0700X | 017192 | GA | |
| Nuclear Radiology Physician | 2085N0904X | 017192 | GA | |
| Pediatric Radiology Physician | 2085P0229X | 017192 | GA | |
| Diagnostic Radiology Physician | 2085R0202X | 017192 | GA | Primary |
| Diagnostic Ultrasound Physician | 2085U0001X | 017192 | GA | |
| Diagnostic Neuroimaging (Radiology) Physician | 2085D0003X | 017192 | GA |
Addresses
Primary practice location
818 Saint Sebastian Way
Suite 100
Augusta, GA 30901-2651
Mailing address
1125 Troupe St
Augusta, GA 30904-4480
Phone (706) 737-4575
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GPA516 | Medicaid | SC | |
| 1379942 | Other | UNITED MINE WORKERS | |
| 299670 | Other | FEDERAL BLACK LUNG - DOL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL, SC
Enrollment records 3
National Provider Directory
National Provider DirectoryMember organizations 2
Organizations listed as members of this organization in the National Provider Directory.
Locations
1450 Winter St
Augusta, GA 30904
Phone (404) 736-6626
3624 J Dewey Gray Cir
Ste 100
Augusta, GA 30909
Phone (706) 561-6501
3685 Wheeler Rd
Ste 100
Augusta, GA 30909
Phone (706) 364-8600
818 Saint Sebastian Way
Ste 100
Augusta, GA 30901
Phone (706) 722-3574
Practitioners & affiliated clinicians
Practitioners 35
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.
-
- Diagnostic Radiology Physician
- Augusta, GA
- NPI 1275597148
Body Imaging, FL
-
- Diagnostic Radiology Physician
- Evans, GA
- NPI 1154369403
Body Imaging, SC
-
- Diagnostic Radiology Physician
- Evans, GA
- NPI 1245294115
Body Imaging, SC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242172800000",
"number": "1265540314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 TROUPE ST",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309044480",
"telephone_number": "706-737-4575",
"fax_number": "706-731-5289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 SAINT SEBASTIAN WAY",
"address_2": "SUITE 100",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309012651",
"telephone_number": "706-722-3574"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHEN W. BROWN AND RADIOLOGY ASSOCIATES OF AUGUSTA LLP",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-28",
"last_updated": "2009-05-13",
"status": "A",
"authorized_official_last_name": "BULLOCK",
"authorized_official_first_name": "HUEY",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "MD / PARTNER",
"authorized_official_telephone_number": "706-737-4575",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "GA",
"license": "017192",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "GA",
"license": "017192",
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "GA",
"license": "017192",
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "GA",
"license": "017192",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "017192",
"primary": true
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "GA",
"license": "017192",
"primary": false
},
{
"code": "2085D0003X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Neuroimaging",
"state": "GA",
"license": "017192",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GPA516",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED MINE WORKERS",
"identifier": "1379942",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL BLACK LUNG - DOL",
"identifier": "299670",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.