Provider Demographics
NPI:1700029519
Name:DIX, BRIAN E (MD)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:E
Last Name:DIX
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3715 DAUPHIN STREET 3B
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-1764
Mailing Address - Country:US
Mailing Address - Phone:251-344-5900
Mailing Address - Fax:251-344-5172
Practice Address - Street 1:3715 DAUPHIN STREET 3B
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-1764
Practice Address - Country:US
Practice Address - Phone:251-344-5900
Practice Address - Fax:251-344-5172
Is Sole Proprietor?:No
Enumeration Date:2009-04-08
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL32441207V00000X
390200000X
ALMD.32441207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program