Active NPI
David T Vega, MD
- Radiation Oncology Physician
- Selma, AL
National Provider Identifier
1730133745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 24666
- Practice address
- 1023 Medical Center Pkwy
Suite 110
Selma, AL 36701-6750 - Phone
- (334) 273-7000
- Fax
- (334) 273-2386
- NPI assigned
- May 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 |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 24666 | AL | Primary |
Addresses
Primary practice location
1023 Medical Center Pkwy
Suite 110
Selma, AL 36701-6750
Mailing address
4143 Carmichael Rd
Montgomery, AL 36106-2803
Phone (334) 395-2200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009900465 | Medicaid | AL | |
| 009935641 | Medicaid | AL | |
| 05155792 | 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542758400000",
"number": "1730133745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4143 CARMICHAEL RD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361062803",
"telephone_number": "334-395-2200",
"fax_number": "334-395-2290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1023 MEDICAL CENTER PKWY",
"address_2": "SUITE 110",
"city": "SELMA",
"state": "AL",
"postal_code": "367016750",
"telephone_number": "334-273-7000",
"fax_number": "334-273-2386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEGA",
"first_name": "DAVID",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-22",
"last_updated": "2018-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "AL",
"license": "24666",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009900465",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009935641",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05155792",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Selma, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.