Dr. Victoria Calcote Debardeleben, MD
Radiology, Diagnostic Radiology in Birmingham, AL. Individual provider (NPI-1).
NPI number1053940940
StatusActive
Last updated in NPPESFeb 5, 2025
Details
- NPI
- 1053940940
- Entity type
- Individual (NPI-1)
- Name
- Dr. Victoria Calcote Debardeleben
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 3, 2020
- Certification date
- Feb 5, 2025
- Last updated
- Feb 5, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - DIAGNOSTIC RADIOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 43729 | AL | Yes |
| 207R00000X | Internal Medicine | T-4049 | MS | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
619 19th St SBirmingham, AL 35233-1900
Phone 205-934-3166
Mailing address
21 Eastbrooke StJackson, MS 39216-4714
Other practice locations
2500 N State St
Jackson, MS 39216-4500
Jackson, MS 39216-4500
Phone 601-984-1000
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