Brian J Heller, MD
Individual provider Active NPI Hematology & Oncology Physician · Mobile, AL
NPI 1942391784 · NPPES record last updated Oct 27, 2021
Key facts
- NPI
- 1942391784
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hematology & Oncology Physician 207RH0003X
- License
- 00028155 (AL)
- Practice address
- 6701 Airport Blvd BLDG B
Mobile, AL 36608-6705 - Phone
- (251) 625-6896
- Fax
- (251) 625-6897
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Medical Oncology
- Education
- Louisiana State University School of Medicine in New Orleans, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern Cancer Center PC
Practice addresses (Care Compare)
1703 N Bunner St
Foley, AL 36535-2229
Phone (251) 625-6896
3719 Dauphin St
Suite 102
Mobile, AL 36608-1769
Phone (251) 625-6896
6701 Airport Blvd
Mobile, AL 36608-6705
Phone (251) 625-6896
Hospital & facility affiliations
- Springhill Home Health and Hospice
- USA Health HCA Providence Hospital, LLC
- Mobile Infirmary Medical Center
- Springhill Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.81 of 100
- Quality
- 91.87
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.54
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070824000156 | AL | Practitioner - Medical Oncology |
8123110905 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00028155 | AL | MD | Hematology & Oncology Physician |
| 023686 | LA | MD | Hematology & Oncology Physician |
| 28155 | AL | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sacred Heart Health System, Inc. | Hematology & Oncology | Current | Accepting new patients |
Locations
6701 Airport Blvd
Bldg B
Mobile, AL 36608
Phone (251) 633-1890
Interoperability endpoints
- brian.heller@southerncancercenter.ikm.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 023686 | LA | |
| Medical Oncology Physician | 207RX0202X | 28155 | AL | |
| Hematology & Oncology Physician | 207RH0003X | 00028155 | AL | Yes |
Addresses
Primary practice location
6701 Airport Blvd BLDG B
Mobile, AL 36608-6705
Mailing address
29653 Anchor Cross Blvd
Daphne, AL 36526-9594
Phone (251) 625-6896
Other practice location 1
29653 Anchor Cross Blvd
Daphne, AL 36526-9594
Phone (251) 625-6896
Other practice location 2
3 Mobile Infirmary Cir Ste 302
Mobile, AL 36607-3515
Phone (251) 625-6896
Other practice location 3
3719 Dauphin St Fl 5
Mobile, AL 36608-1753
Phone (251) 625-6896
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102213 | Medicaid | AL | |
| 102303 | Medicaid | AL | |
| 166737 | Medicaid | AL | |
| P00474709 | Other | AL | RAILROAD MEDICARE |
| 009912594 | Medicaid | AL |
Other providers in Mobile, AL
- Jaidee Hebert
- Timothy Hecker
- Andrew J Heflin
- Kelcee Lenea Heflin
- Payton Heil
- Alexandria Hellmich
- Robert Lawrence Helm
- Robert Helmer II
- Helping Hands of Alabama LLC
- Cary Scott Helton
All providers in Mobile, AL · Hematology & Oncology Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.