James Walton Debnam Jr., M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

R3273 Issued in MO

Practice address

1845 Nettlecreek Dr
Saint Louis, MO 63131-1506

Phone

(314) 965-2899

NPI assigned

Aug 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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 and National Provider Directory roles.

• Central Radiology Group LTD

  • Diagnostic Radiology Physician
  • Saint Louis, MO
  • NPI 1144235961
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1841203148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 NETTLECREEK DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311506",
            "telephone_number": "314-965-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 NETTLECREEK DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311506",
            "telephone_number": "314-965-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBNAM",
        "first_name": "JAMES",
        "middle_name": "WALTON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "R3273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debbie Granick LCSW RN LLC
• Jordan Debeatham-Gaspard
• Traci R Debeir, RN, BSN
• Lisa A Debernardi, DPM
• Vincent Joseph Deblaze
• James W Deboard, MD
• Austin Robert Deboer, ATC
• Christine M Debold, ANP
• Deborah Long Coon DMD PC
• Amanda Debord, M.S., CCC-SLP

• Diagnostic Radiology Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Diagnostic Radiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.