NPI Code Detail JSON Logo

1194136838 NPI number — CECIL BRYANT RHODES MD

NPI Number: 1194136838
Health Care Provider/Practitioner: CECIL BRYANT RHODES MD

Information about “1194136838” NPI (CECIL BRYANT RHODES MD) exists in 1194136838 in HTML format HTML  |  1194136838 in plain Text format TXT  |  1194136838 in PDF (Portable Document Format) PDF  |  1194136838 in an XML format XML  formats.

NPI Number : 1194136838 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1194136838",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RHODES",
    "FirstName": "CECIL",
    "MiddleName": "BRYANT",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2300 MANCHESTER EXPY STE 2001A",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COLUMBUS",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "31904-6802",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "706-320-3126",
    "MailingAddressFaxNumber": "706-320-3054",
    "FirstLinePracticeLocationAddress": "2300 MANCHESTER EXPY STE C003",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COLUMBUS",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "31904-6877",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "706-324-7753",
    "PracticeLocationAddressFaxNumber": "706-324-7756",
    "EnumerationDate": "05/15/2014",
    "LastUpdateDate": "08/07/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207Y00000X",
          "TaxonomyName": "Otolaryngology Physician",
          "LicenseNumber": "82642",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "207Y00000X",
          "TaxonomyName": "Otolaryngology Physician",
          "LicenseNumber": "390200000",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.