Active NPI
Brian Joseph Ribeiro, M.D.
- Internal Medicine Physician
- Fort Benning, GA
National Provider Identifier
1679673487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 031108
- Practice address
- 7950 Martin Loop
Martin Army Community Hospital
Fort Benning, GA 31905-5647 - Phone
- (706) 544-1272
- Fax
- (706) 544-4040
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 031108 | GA | Primary |
Addresses
Primary practice location
7950 Martin Loop
Martin Army Community Hospital
Fort Benning, GA 31905-5647
Mailing address
7950 Martin Loop
Martin Army Community Hospital
Fort Benning, GA 31905-5637
Phone (706) 544-1272
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 031108 | Other | GA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130614000347 | GA | Order and Referring Only - Internal Medicine | 7810136298 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 031108 | GA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313712000000",
"number": "1679673487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7950 MARTIN LOOP",
"address_2": "MARTIN ARMY COMMUNITY HOSPITAL",
"city": "FORT BENNING",
"state": "GA",
"postal_code": "319055637",
"telephone_number": "706-544-1272",
"fax_number": "706-544-4040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7950 MARTIN LOOP",
"address_2": "MARTIN ARMY COMMUNITY HOSPITAL",
"city": "FORT BENNING",
"state": "GA",
"postal_code": "319055647",
"telephone_number": "706-544-1272",
"fax_number": "706-544-4040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIBEIRO",
"first_name": "BRIAN",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2011-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "031108",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "031108",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Benning, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.