Southeast Cardiology Clinic Inc.
NPI 1285790915ActiveOrganization· Internal Medicine, Cardiovascular Disease· Dothan, AL
Internal Medicine, Cardiovascular Disease in Dothan, Alabama, registered in NPPES in December 2006. The authorized official on file is Donna Bridwell, Insurance Supervisor. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1285790915 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 28, 2006 |
| Last updated in NPPES | Aug 3, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Cardiovascular Disease Primary | 207RC0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AL); Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (GA) |
|---|
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