Individual provider Active NPI

Brian Doggett, MD

  • Family Medicine Physician
  • Delphi, IN
National Provider Identifier
1821057936
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01030617A Issued in IN
Practice address
651 Armory Rd
Delphi, IN 46923-1910
Phone
(765) 448-8000
Fax
(765) 564-6580
NPI assigned
Mar 20, 2006
Last updated
Jul 23, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01030617A IN Primary

Addresses

Primary practice location

651 Armory Rd
Delphi, IN 46923-1910

Mailing address

PO Box 5545
Lafayette, IN 47903-5545
Phone (765) 448-8000

Other identifiers 5

IdentifierTypeStateIssuer
DO25507008MedicaidIN
000000189506OtherINANTHEM PROVIDER NUMBER
9396981OtherINPHCS PID NUMBER
100117210MedicaidIN
11484429OtherINCAQH NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20041208000037 IN Practitioner - Family Practice 0446216766 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arnett Clinic, LLC Family Medicine CurrentSince May 31, 2009 Accepting new patients
Arnett Clinic, LLC CurrentSince May 31, 2009 Accepting new patients
Arnett Clinic, LLC Current Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Arnett Clinic, LLC Past Accepting new patients

Locations

8016 Reliable Pkwy
Chicago, IL 60686

651 Armory Rd
Delphi, IN 46923
Phone (765) 564-2777

1 Walter Scholer Dr
Lafayette, IN 47909

2600 Greenbush St
Lafayette, IN 47904

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343001600000",
    "number": "1821057936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5545",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479035545",
            "telephone_number": "765-448-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 ARMORY RD",
            "city": "DELPHI",
            "state": "IN",
            "postal_code": "469231910",
            "telephone_number": "765-448-8000",
            "fax_number": "765-564-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOGGETT",
        "first_name": "BRIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2012-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01030617A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DO25507008",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000000189506",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS PID NUMBER",
            "identifier": "9396981",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100117210",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH NUMBER",
            "identifier": "11484429",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delphi, IN

Sources for this page

Verify at the official NPI Registry.