Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Alex Dibona, MD

Individual provider Vascular & Interventional Radiology Physician · NPI 1215017827

Dr. Alex Dibona, MD is an Emergency Medicine in Charleston, South Carolina. Graduated from Medical University of South Carolina College of Medicine in 2001, 25 years ago. Practices with Northside Radiology Associates LLC, a 384-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
25
Trained at
Medical University of South Carolina College of Medicine
Licensed in
SC
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

171 Ashley Ave
Charleston, SC 29425-4411
Phone: (843) 792-1414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD29245 (SC)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence MD29245 (SC)

Record details

NPI number1215017827
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 17, 2006
Last updated in NPPESJuly 27, 2024
Certification dateJuly 27, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice Northside Radiology Associates Llc — 384 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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