MEDICARE: DR. ALEX DIBONA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0204X	Vascular & Interventional Radiology Physician	MD29245	SC
2	2085R0202X	Diagnostic Radiology Physician	MD29245	SC

General Provider Information

NPI Number	:	1215017827
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEX DIBONA M.D.

Provider Business Mailing Address
First Line	:	PO BOX 751461
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28275-1461
Country	:	US
Telephone Number	:	843-792-1414
Fax Number	:

Provider Business Practice Location Address
First Line	:	171 ASHLEY AVE
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29425-4411
Country	:	US
Telephone Number	:	843-792-1414
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	07/27/2024

Similar Medicare Providers

1922953306 — STEVEN HOLBROOK
Practice Location Address:

415 CRESTVIEW DR
CHARLESTON, WV
25302-4411

Practice Phone: 304-807-5088
Practice Fax:

1316057003 — KERR DRUG INC A DELAWARE COMPANY
Practice Location Address:

4411 DURANT AVE
NORTH CHARLESTON, SC
29405-5300

Practice Phone: 843-747-9661
Practice Fax: 843-744-4385

1144175621 — SONIA PRANAY PATEL
Practice Location Address:

173 ASHLEY AVE
CHARLESTON, SC
29425-8908

Practice Phone: 843-876-7645
Practice Fax:

1184578007 — MARISA JEAN IRONS APRN
Practice Location Address:

171 ASHLEY AVE
CHARLESTON, SC
29425-8900

Practice Phone: 843-792-1414
Practice Fax:

1588092662 — DR. TODD JEREMY METZ NP
Practice Location Address:

25 COURTENAY DR STE 3053
CHARLESTON, SC
29425-8911

Practice Phone: 438-765-9698
Practice Fax:

1396418398 — ANGEL BROWN LISW-CP
Practice Location Address:

163 RUTLEDGE AVE STE 200
CHARLESTON, SC
29425-8903

Practice Phone: 843-792-0819
Practice Fax:

Directions to “ DR. ALEX DIBONA M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.