Active NPI
Christopher J Dorvault, M.D.
- Diagnostic Radiology Physician
- Montgomery, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 00021722
- Practice address
- 2055 Normandie Dr
Suite 108
Montgomery, AL 36111-2732 - Phone
- (334) 288-4624
- Fax
- (334) 280-3628
- NPI assigned
- Aug 31, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 00021722 | AL | Primary |
| Diagnostic Radiology Physician | 2085R0202X | ME90098 | FL |
Addresses
Primary practice location
2055 Normandie Dr
Suite 108
Montgomery, AL 36111-2732
Mailing address
2055 Normandie Dr
Suite 108
Montgomery, AL 36111-2732
Phone (334) 288-4624
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Tulane University School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1301 Belleville Ave
Brewton, AL 36426-1306
Phone (850) 438-6784
14114 Alabama St
Jay, FL 32565-1219
Phone (850) 675-8000
8333 N Davis Hwy
Pensacola, FL 32514-6050
Phone (850) 474-8000
Hospital & facility affiliations
- Baptist Hospital
- Gulf Breeze Hospital
- HCA Florida West Hospital
- Northwest Florida Community Hospital
- Jay Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00021722 | AL | MD | Diagnostic Radiology Physician |
| ME90098 | FL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Associates of Pensacola, PA | Diagnostic Radiology | Current | Accepting new patients |
| West Florida Medical Center Clinic, PA | Current | Accepting new patients | |
| Washington University | Diagnostic Radiology | Past | Accepting new patients |
| West Florida Medical Center Clinic PA | Past | Accepting new patients |
Locations
1301 Belleville Ave
Brewton, AL 36426
Phone (251) 809-8439
3701 Dauphin St
Mobile, AL 36608
Phone (251) 341-3368
14114 Alabama St
Jay, FL 32565
Phone (850) 675-8000
8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212
1717 N E St
Ste 300
Pensacola, FL 32501
Phone (850) 444-4741
8333 N Davis Hwy
Pensacola, FL 32514
Phone (850) 474-8000
5330 N Davis Hwy
Pensacola, FL 32503
Phone (850) 469-2319
Organizations & group practices 4
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.
-
- Diagnostic Radiology Physician
- Pensacola, FL
- NPI 1396759684
AL
-
- Multi-Specialty Clinic/Center
- Pensacola, FL
- NPI 1568452688
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1962442475
Diagnostic Radiology
-
- Ambulatory Surgical Clinic/Center
- Pensacola, FL
- NPI 1043396245
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1700979465
-
- General Acute Care Hospital
- Gulf Breeze, FL
- NPI 1972664530
-
- Critical Access Hospital
- Jay, FL
- NPI 1912918277
-
- Critical Access Hospital
- Chipley, FL
- NPI 1336163708
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1639116726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190592000000",
"number": "1295729689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2055 NORMANDIE DR",
"address_2": "SUITE 108",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361112732",
"telephone_number": "334-288-4624",
"fax_number": "334-280-3628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 NORMANDIE DR",
"address_2": "SUITE 108",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361112732",
"telephone_number": "334-288-4624",
"fax_number": "334-280-3628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORVAULT",
"first_name": "CHRISTOPHER",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-31",
"last_updated": "2007-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AL",
"license": "00021722",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME90098",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.