Individual provider Active NPI

Brian C Center, M.D.

  • Radiation Oncology Physician
  • Panama City, FL
National Provider Identifier
1790908796
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME170118 Issued in FL
Practice address
2100 State Ave
Panama City, FL 32405-4587
Phone
(850) 763-0036
Fax
(850) 763-0259
NPI assigned
Apr 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 29354 AL
Radiation Oncology Physician 2085R0001X 2007-01477 NC
Radiation Oncology Physician 2085R0001X ME170118 FL Primary

Addresses

Primary practice location

2100 State Ave
Panama City, FL 32405-4587

Mailing address

PO Box 946205
Atlanta, GA 30394-6205
Phone (800) 998-3450

Other identifiers 8

IdentifierTypeStateIssuer
333480282AMedicaidGA
8190764OtherALCIGNA
123828600MedicaidFL
108200MedicaidAL
511-18120OtherALBLUE CROSS BLUE SHIELD
109082MedicaidAL
130058MedicaidAL
P01652621OtherALRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180122001416 FL Practitioner - Radiation Oncology 5597821934 Reassigns benefits to 2 organizations
I20220303000248 MS Practitioner - Radiation Oncology 5597821934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Medical College of Georgia School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ocala Oncology Center PLGroup PAC ID 6901950856, 23 clinicians

Practice addresses (Care Compare)

2100 State Ave
Panama City, FL 32405-4587
Phone (850) 763-0036

Hospital & facility affiliations

  • HCA Florida Gulf Coast Hospital Hospital, Panama City, FL, CCN 100242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29354ALMDRadiation Oncology Physician
ME170118FLMDRadiation Oncology Physician
2007-01477NCMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ocala Oncology Center PL Radiation Oncology CurrentSince Jul 1, 2024 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Jan 17, 2022 Accepting new patients
Memorial Hospital at Gulfport Current Accepting new patients
Genesiscare USA of Florida LLC CurrentSince Dec 1, 2017 Accepting new patients
Genesiscare USA of Florida LLC Radiation Oncology CurrentSince Dec 1, 2017 Accepting new patients
Ocala Oncology Center, PL CurrentSince Jul 1, 2024 Accepting new patients

Locations

425 Nursing Home Dr
Arcadia, FL 34266
Phone (863) 494-9991

2160 Colonial Blvd
Fort Myers, FL 33907

2234 Colonial Blvd
Fort Myers, FL 33907
Phone (239) 931-7212

13940 N US Highway 441
Ste 203
Lady Lake, FL 32159
Phone (352) 259-8940

3031 Carters Mill Rd
Marianna, FL 32446
Phone (850) 526-2101

2100 State Ave
Panama City, FL 32405
Phone (850) 763-0036

1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856

1340 Broad Ave
Ste 140
Gulfport, MS 39501
Phone (228) 575-2950

Interoperability endpoints

  • Direct secure messaging: brian.center@fca.ikm.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1790908796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 946205",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303946205",
            "telephone_number": "800-998-3450",
            "fax_number": "757-942-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 STATE AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054587",
            "telephone_number": "850-763-0036",
            "fax_number": "850-763-0259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENTER",
        "first_name": "BRIAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AL",
            "license": "29354",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NC",
            "license": "2007-01477",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME170118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "333480282A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8190764",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123828600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108200",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "511-18120",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109082",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130058",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01652621",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.