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

Phillip B. Long, MD

Individual provider Diagnostic Radiology Physician · NPI 1770520330

Phillip B. Long, MD is a Diagnostic Radiology in Gallipolis, Ohio. Graduated from University of Toledo College of Medicine in 1990, 36 years ago. Practices with Holzer Clinic LLC, a 264-clinician group and accepts Medicare assignment. Licensed in Ohio and West Virginia.

Years since qualifying
36
Trained at
University of Toledo College of Medicine
Licensed in
OH, WV
In the registry since
2006
Specialties on file
4
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

100 Jackson Pike
Gallipolis, OH 45631-1560
Phone: (740) 446-5289
Fax: (740) 446-5697
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 35-06-2892 (OH)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 18423 (WV)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 18423 (WV)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 35.062892 (OH)

Record details

NPI number1770520330
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 1, 2006
Last updated in NPPESJanuary 21, 2021
Certification dateJanuary 21, 2021
Mailing address90 Jackson Pike, Gallipolis, OH 45631-1560

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Graduated 1990 (36 years in practice)
Group practice Holzer Clinic Llc — 264 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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