NPIMap

Individual provider Active NPI

Brian L Abbott, MD

  • Hematology & Oncology Physician
  • Brownsboro, AL
National Provider Identifier
1619067295
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
34561 Issued in TN
Practice address
1012 Hampton Fall Blvd Apt 931
Brownsboro, AL 35741-8021
Phone
(970) 236-6484
NPI assigned
Oct 13, 2006
Last updated
Mar 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 34561 TN Primary

Addresses

Primary practice location

1012 Hampton Fall Blvd Apt 931
Brownsboro, AL 35741-8021

Mailing address

1012 Hampton Fall Blvd Apt 931
Brownsboro, AL 35741-8021
Phone (970) 236-6484

Other identifiers 2

IdentifierTypeStateIssuer
0000099035OtherMTBCBS
1619067295MedicaidMT

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
34561TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas City Cancer Center, LLC Hematology & Oncology Past Accepting new patients
Benefis Medical Group Hematology & Oncology Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Benefis Hospitals Inc Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1619067295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 HAMPTON FALL BLVD APT 931",
            "city": "BROWNSBORO",
            "state": "AL",
            "postal_code": "357418021",
            "telephone_number": "970-236-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 HAMPTON FALL BLVD APT 931",
            "city": "BROWNSBORO",
            "state": "AL",
            "postal_code": "357418021",
            "telephone_number": "970-236-6484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBOTT",
        "first_name": "BRIAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TN",
            "license": "34561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0000099035",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619067295",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsboro, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; 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.