Active NPI
James Darryl Bise, D.O.
- Diagnostic Radiology Physician
- Ft Stewart, GA
National Provider Identifier
1336149988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 054062
- Practice address
- 1061 Harmon Ave
Suite 2J11D
Ft Stewart, GA 31314-5604 - Phone
- (912) 435-6726
- Fax
- (912) 435-6926
- NPI assigned
- Jul 26, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 054062 | GA | Primary |
Addresses
Primary practice location
1061 Harmon Ave
Suite 2J11D
Ft Stewart, GA 31314-5604
Mailing address
1061 Harmon Ave
Suite 2J11D
Ft Stewart, GA 31314-5604
Phone (912) 435-6726
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 054062 | GA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoebe Infectious Disease | Current | Accepting new patients |
Locations
417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207
2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802
151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900
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 and National Provider Directory roles.
-
- Clinic/Center
- Albany, GA
- NPI 1487899464
-
- Clinic/Center
- Albany, GA
- NPI 1114220852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1336149988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1061 HARMON AVE",
"address_2": "SUITE 2J11D",
"city": "FT STEWART",
"state": "GA",
"postal_code": "313145604",
"telephone_number": "912-435-6726",
"fax_number": "912-435-6926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1061 HARMON AVE",
"address_2": "SUITE 2J11D",
"city": "FT STEWART",
"state": "GA",
"postal_code": "313145604",
"telephone_number": "912-435-6726",
"fax_number": "912-435-6926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISE",
"first_name": "JAMES",
"middle_name": "DARRYL",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-26",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "054062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ft Stewart, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.