Active NPI
Duc Thanh Doan, DO
- Addiction Medicine (Family Medicine) Physician
- Riviera Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- License
- OS20297
- Practice address
- 7305 N Military TRL
Riviera Beach, FL 33410-7417 - Phone
- (561) 422-6957
- NPI assigned
- Mar 25, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | 20A17786 | CA | |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | OS20297 | FL | Primary |
Addresses
Primary practice location
7305 N Military TRL
Riviera Beach, FL 33410-7417
Mailing address
12692 Ranchero Way
Garden Grove, CA 92843-3027
Other practice location 1
1920 Colorado Ave
Santa Monica, CA 90404-3414
Phone (310) 319-4700
Other practice location 2
7600 River Rd
North Bergen, NJ 07047-6217
Phone (201) 710-2756
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Addiction Medicine
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4810 Spicewood Springs Rd
BLDG B
Austin, TX 78759-7838
5001 Spring Valley Rd
Suite 600
Dallas, TX 75244-3972
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS20297 | FL | MD | Addiction Medicine (Family Medicine) Physician |
| 20A17786 | CA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHG Xlvi, LLC | Current | Accepting new patients | |
| BHG Lxxxviii, LLC | Multi-Specialty | Current | Accepting new patients |
Locations
1320 Marion Barry Ave SE
Rm 100
Washington, DC 20020
Phone (202) 610-1886
1320 Marion Barry Ave SE
Washington, DC 20020
Phone (202) 610-1886
5001 Spring Vly
Ste 600E
Dallas, TX 75244
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba BHG Medical Services - Washington DC
- Multi-Specialty Clinic/Center
- Washington, DC
- NPI 1609586684
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Washington, DC
- NPI 1932633518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733356800000",
"number": "1629573548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12692 RANCHERO WAY",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928433027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7305 N MILITARY TRL",
"city": "RIVIERA BEACH",
"state": "FL",
"postal_code": "334107417",
"telephone_number": "561-422-6957"
}
],
"practiceLocations": [
{
"address_1": "1920 Colorado Ave",
"address_purpose": "LOCATION",
"city": "Santa Monica",
"state": "CA",
"postal_code": "904043414",
"country_code": "US",
"telephone_number": "310-319-4700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7600 River Rd",
"address_purpose": "LOCATION",
"city": "North Bergen",
"state": "NJ",
"postal_code": "070476217",
"country_code": "US",
"telephone_number": "201-710-2756",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOAN",
"first_name": "DUC",
"middle_name": "THANH",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-25",
"last_updated": "2024-12-05",
"certification_date": "2024-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "20A17786",
"primary": false
},
{
"code": "207QA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Addiction Medicine",
"state": "FL",
"license": "OS20297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riviera Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.