Individual provider Active NPI

Todd Alvin Durham, D.O.

  • Diagnostic Radiology Physician
  • Florence, AL
National Provider Identifier
1063634293
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
DO1067 Issued in AL
Practice address
205 Marengo St
Florence, AL 35630-6033
Phone
(256) 381-0400
Fax
(256) 386-0065
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X DO1067 AL Primary

Addresses

Primary practice location

205 Marengo St
Florence, AL 35630-6033

Mailing address

PO Box 229
Sheffield, AL 35660-0229
Phone (256) 381-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN, VA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20100715000151 AL Practitioner - Diagnostic Radiology 2961534623 Reassigns benefits to 4 organizations
I20211011002493 TN Practitioner - Diagnostic Radiology 2961534623 Reassigns benefits to 2 organizations
I20240417000055 VA Practitioner - Diagnostic Radiology 2961534623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
West Virginia School of Osteopathic Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Ridge Radiology PCGroup PAC ID 7416860473, 77 clinicians
Ecm Health Group LLCGroup PAC ID 9436395225, 139 clinicians

Practice addresses (Care Compare)

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-2200

105 Fairlea CT
Lynchburg, VA 24503-2164
Phone (423) 968-1144

1701 Veterans Dr
Florence, AL 35630-4928
Phone (256) 629-1000

900 County Rd
Suite 122
Florence, AL 35634-3505
Phone (423) 968-1144

Hospital & facility affiliations

  • North Alabama Medical Center Hospital, Florence, AL, CCN 010006
  • North Alabama Shoals Hospital Hospital, Muscle Shoals, AL, CCN 010157
  • Helen Keller Hospital Hospital, Sheffield, AL, CCN 010019
  • Johnston Memorial Hospital Hospital, Abingdon, VA, CCN 490053
  • Wellmont Holston Valley Medical Center Hospital, Kingsport, TN, CCN 440017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1067ALMDSports Physician Chiropractor
DO1067ALMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ecm Health Group LLC CurrentSince Jun 1, 2025 Accepting new patients
Lauderdale Radiology Group LLP CurrentSince Mar 15, 2011 Accepting new patients
Blue Ridge Radiology, P.C. Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients

Locations

541 W College St
Ste 3200
Florence, AL 35630
Phone (256) 760-0098

205 Marengo St
Florence, AL 35630
Phone (256) 768-8350

541 W College St
Ste 3300
Florence, AL 35630
Phone (256) 766-6026

1701 Veterans Dr
Florence, AL 35630
Phone (256) 629-1900

2407 Helton Dr
Florence, AL 35630
Phone (256) 718-5900

201 Avalon Ave
Muscle Shoals, AL 35661
Phone (256) 386-1600

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

3053 W State St
Bristol, TN 37620
Phone (423) 301-6567

4289 Bonny Oaks Dr
Ste 106
Chattanooga, TN 37406

1265 E College St
Pulaski, TN 38478
Phone (931) 363-7531

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1063634293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 229",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356600229",
            "telephone_number": "256-381-0400",
            "fax_number": "256-386-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MARENGO ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356306033",
            "telephone_number": "256-381-0400",
            "fax_number": "256-386-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "TODD",
        "middle_name": "ALVIN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "DO1067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.