Individual provider Active NPI

David Bing Hurst, MD

  • Radiation Oncology Physician
  • Marianna, FL
National Provider Identifier
1518999564
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME54431 Issued in FL
Practice address
3031 Carters Mill Rd
Marianna, FL 32446-1902
Phone
(850) 526-2104
Fax
(850) 482-2445
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X A43279 CA
Radiation Oncology Physician 2085R0001X ME54431 FL Primary

Addresses

Primary practice location

3031 Carters Mill Rd
Marianna, FL 32446-1902

Mailing address

2160 Colonial Blvd
Fort Myers, FL 33907-1410
Phone (239) 931-7342

Other practice location 1

3031 Carters Mill Rd
Marianna, FL 32446-1902
Phone (850) 265-5632

Other practice location 2

2100 State Ave
Gulf Coast CA TRT Ctr
Panama City, FL 32405
Phone (850) 763-0036

Other identifiers 3

IdentifierTypeStateIssuer
8797568OtherFLCIGNA
049674000MedicaidFL
1518999564OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A43279CAMDRadiation Oncology Physician
ME54431FLMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aoa Gulf Coast Partners LP Past Accepting new patients
Genesiscare USA of Florida LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1518999564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 COLONIAL BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071410",
            "telephone_number": "239-931-7342",
            "fax_number": "239-931-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 CARTERS MILL RD",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324461902",
            "telephone_number": "850-526-2104",
            "fax_number": "850-482-2445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3031 Carters Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Marianna",
            "state": "FL",
            "postal_code": "324461902",
            "country_code": "US",
            "telephone_number": "850-265-5632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 State Ave",
            "address_2": "Gulf Coast CA TRT Ctr",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "32405",
            "country_code": "US",
            "telephone_number": "850-763-0036",
            "fax_number": "850-763-0259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURST",
        "first_name": "DAVID",
        "middle_name": "BING",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A43279",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME54431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8797568",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049674000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1518999564",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marianna, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.