Individual provider Active NPI

James M Corder III, MD

  • Trauma Surgery Physician
  • Tuscaloosa, AL
National Provider Identifier
1073553897
Registry record updated Jan 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
25573 Issued in AL
Practice address
1820 Rice Mine Rd N
Suite 200
Tuscaloosa, AL 35406-3281
Phone
(205) 333-4949
Fax
(205) 333-4660
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery Physician 2086S0127X 25573 AL Primary

Addresses

Primary practice location

1820 Rice Mine Rd N
Suite 200
Tuscaloosa, AL 35406-3281

Mailing address

701 University Blvd E
Suite 604
Tuscaloosa, AL 35401-2086
Phone (205) 759-6925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070920000246 AL Practitioner - General SurgeryPractitioner - Vascular SurgeryPractitioner - Other (Physician) 1153324157 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of South Alabama College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

701 University Blvd E
Tuscaloosa, AL 35401-2092

809 University Blvd E
Tuscaloosa, AL 35401-2092

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25573ALMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Alabama Physician Associates LLC Trauma Surgery CurrentSince Aug 1, 2014 Accepting new patients
The DCH Health Care Authority CurrentSince Aug 5, 2022 Accepting new patients
West Alabama Palliative Care Service LLC Current Accepting new patients
West Alabama Physician Associates, LLC Current Accepting new patients
DCH Healthcare Authority Current Accepting new patients
The DCH Healthcare Authority CurrentSince Aug 5, 2022 Accepting new patients
West Alabama Physician Associates, LLC CurrentSince Aug 1, 2014 Accepting new patients
Our Lady of the Lake Physician Group LLC Trauma Surgery Past Accepting new patients

Locations

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

1820 Rice Mine Rd N
Ste 200
Tuscaloosa, AL 35406
Phone (205) 333-4656

701 University Blvd E
Ste 606
Tuscaloosa, AL 35401
Phone (205) 752-2501

701 University Blvd E
Ste 606C
Tuscaloosa, AL 35401
Phone (205) 752-2501

701 University Blvd E
Ste 507
Tuscaloosa, AL 35401
Phone (205) 330-3650

701 University Blvd E
Ste 604
Tuscaloosa, AL 35401
Phone (205) 759-6925

3901 Greensboro Ave
Ste A
Tuscaloosa, AL 35405
Phone (205) 759-6165

Organizations & group practices 8

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 3

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452038400000",
    "number": "1073553897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 UNIVERSITY BLVD E",
            "address_2": "SUITE 604",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012086",
            "telephone_number": "205-759-6925",
            "fax_number": "205-759-6926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 RICE MINE RD N",
            "address_2": "SUITE 200",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354063281",
            "telephone_number": "205-333-4949",
            "fax_number": "205-333-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDER",
        "first_name": "JAMES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2016-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "AL",
            "license": "25573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.