Brian J Doler, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT3523 Issued in MS

Practice address

710 City Ave N
Ripley, MS 38663-1615

Phone

(662) 837-6060

Fax

(662) 837-4060

NPI assigned

Jan 3, 2007

Last updated

Mar 27, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BJ Doler Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238112000000",
    "number": "1659438190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206B OXFORD RD",
            "address_2": "PO BOX 44",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386523115",
            "telephone_number": "662-534-4445",
            "fax_number": "662-534-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 CITY AVE N",
            "city": "RIPLEY",
            "state": "MS",
            "postal_code": "386631615",
            "telephone_number": "662-837-6060",
            "fax_number": "662-837-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLER",
        "first_name": "BRIAN",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2009-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT3523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "582681044",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BJ",
            "last_name": "DOLER",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Donald P. Roten, DDS, P.a.
• Lori S Duke, DNP, FNP-C
• Karen Dulaney, PCMHT
• Kasha Edgeston, M.A.
• Jody Lynn Edwards, MSW, LSW

• Physical Therapist in Ripley, MS
• Providers in Ripley, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; 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.