Brian Paul Dudgeon, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

23314 Issued in AL

Practice address

5295 Preserve Parkway
Suite 100
Hoover, AL 35244

Phone

(205) 987-4444

Fax

(205) 987-4451

NPI assigned

Jul 19, 2006

Last updated

Jan 4, 2016By 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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• The Children's Hospital of Alabama

  dba Pediatrics West

  • Pediatrics Physician
  • Hueytown, AL
  • NPI 1104903749
  NPD (past)
• The Children's Hospital of Alabama

  dba Greenvale Pediatrics

  • Pediatrics Physician
  • Hoover, AL
  • NPI 1124105762
  NPD (past)
• The Children's Hospital of Alabama

  dba Children's Health System

  • Children's Hospital
  • Birmingham, AL
  • NPI 1205935012
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451865600000",
    "number": "1780603407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5295 PRESERVE PARKWAY",
            "address_2": "SUITE 100",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "35244",
            "telephone_number": "205-987-4444",
            "fax_number": "205-987-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5295 PRESERVE PARKWAY",
            "address_2": "SUITE 100",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "35244",
            "telephone_number": "205-987-4444",
            "fax_number": "205-987-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDGEON",
        "first_name": "BRIAN",
        "middle_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2016-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "23314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF ALABAMA",
            "identifier": "51510834",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009932260",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009911005",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF ALABAMA",
            "identifier": "51095509",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Drill and Chill Dental Company LLC (Birmingham Smiles)
• DRS. Koslin & Kahn, P.C.
• Felix Duarte Jr., OD
• Adezza Dubose-Williams, LPC 05066
• Michael Alexander Dubuc, DMD
• Bailey Duffy, DMD
• Mikaylah Reshea Dugans
• Jahzmin Duncan, M.ED, ALC
• Taylor Duncan, DMD
• Dungarvin Alabama LLC

• Pediatrics Physician in Hoover, AL
• Providers in Hoover, AL by specialty
• Pediatrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; 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.