MEDICARE: RADIOLOGY OF HUNSTVILLE PC

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
2	2085R0202X	Diagnostic Radiology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	890-51544	OTHER	AL	BCBS AL
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	512-34996	OTHER	AL	BCBS AL
5	512-35104	OTHER	AL	BCBS AL
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	512-35881	OTHER	AL	BCBS AL
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	511-92546	OTHER	AL	BCBS AL
14	890-44275	OTHER	AL	BCBS AL
15	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
16	511-92547	OTHER	AL	BCBS AL
17	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
18	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
19	511-92545	OTHER	AL	BCBS AL
20	512-08098	OTHER	AL	BCBS AL
21	512-34997	OTHER	AL	BCBS AL
22	512-35661	OTHER	AL	BCBS AL
23	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
24	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
25	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
26	511-92548	OTHER	AL	BCBS AL
27	511-92549	OTHER	AL	BCBS AL
28	1861653263	OTHER	AL	TRICARE
29	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
30	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31	511-92544	OTHER	AL	BCBS AL
32	511-93661	OTHER	AL	BCBS AL
33	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588621296
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RADIOLOGY OF HUNSTVILLE PC

Provider Business Mailing Address
First Line	:	2006 FRANKLIN ST SE STE 200
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35801-4537
Country	:	US
Telephone Number	:	256-539-0457
Fax Number	:	256-615-8753

Provider Business Practice Location Address
First Line	:	2006 FRANKLIN ST SE STE 200
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35801-4537
Country	:	US
Telephone Number	:	256-539-0457
Fax Number	:	256-615-8753

Authorized Official
Title or Position	:	ADMIN / CREDENTIALING SPECIALIST
Name	:	MRS. BRANDY C. MCCOWN
Credential	:
Telephone Number	:	256-539-0457

Provider Enumeration Date	:	04/27/2006
Last Update Date	:	04/17/2026