Active NPI
David Blair Neeland, M.D.
- Diagnostic Radiology Physician
- Montgomery, AL
National Provider Identifier
1669444337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 00007989
- Practice address
- 2055 Normandie Dr
108
Montgomery, AL 36111-2732 - Phone
- (334) 288-4624
- Fax
- (334) 280-3628
- NPI assigned
- Feb 6, 2006
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 00007989 | AL | Primary |
| Diagnostic Radiology Physician | 2085R0202X | ME90164 | FL | |
| Diagnostic Radiology Physician | 2085R0202X | 0000-20942 | NC |
Addresses
Primary practice location
2055 Normandie Dr
108
Montgomery, AL 36111-2732
Mailing address
2055 Normandie Dr
108
Montgomery, AL 36111-2732
Phone (334) 288-4624
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000058866 | Other | AL | IDTF |
| 009968475 | Medicaid | AL | |
| 009945290 | Medicaid | AL | |
| 009968495 | Medicaid | AL | |
| 107019 | Medicaid | AL | |
| 000045292 | Medicaid | AL | |
| 107018 | Medicaid | AL | |
| 000045290 | Medicaid | AL | |
| 051504364 | Other | AL | IDTF |
| 009968485 | Medicaid | AL | |
| 108194 | Medicaid | AL | |
| 000058867 | Other | AL | IDTF |
| 000085896 | Medicaid | AL | |
| 270024700 | Medicaid | FL | |
| 000083515 | Medicaid | AL | |
| 009965385 | Medicaid | AL | |
| 009974205 | Medicaid | AL | |
| 108460 | Medicaid | AL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 00007989 | AL | MD | Diagnostic Radiology Physician |
| ME90164 | FL | MD | Diagnostic Radiology Physician |
| 0000-20942 | NC | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Imaging Specialists, LLC | Past | Accepting new patients | |
| The East Alabama Health Care Authority | 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.
-
- Physiological Laboratory
- Montgomery, AL
- NPI 1962468256
-
- Community/Retail Pharmacy
- Opelika, AL
- NPI 1215089305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320192000000",
"number": "1669444337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2055 NORMANDIE DR",
"address_2": "108",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361112732",
"telephone_number": "334-288-4624",
"fax_number": "334-280-3628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 NORMANDIE DR",
"address_2": "108",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361112732",
"telephone_number": "334-288-4624",
"fax_number": "334-280-3628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEELAND",
"first_name": "DAVID",
"middle_name": "BLAIR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-06",
"last_updated": "2011-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AL",
"license": "00007989",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME90164",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NC",
"license": "0000-20942",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IDTF",
"identifier": "000058866",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009968475",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009945290",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009968495",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "107019",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000045292",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "107018",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000045290",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IDTF",
"identifier": "051504364",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009968485",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "108194",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IDTF",
"identifier": "000058867",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000085896",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "270024700",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000083515",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009965385",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009974205",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "108460",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.