Individual provider Active NPI

Robert Timothy Thurman, MD

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Durham, NC
National Provider Identifier
1104905967
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
License
9704205-8905 Issued in UT
Practice address
2301 Erwin Rd
Durham, NC 27705-4699
Phone
(919) 684-8111
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X 9704205-8905 UT Primary
Specialist 174400000X M7428 ID
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X 036167461 IL
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X 128404 MT

Addresses

Primary practice location

2301 Erwin Rd
Durham, NC 27705-4699

Mailing address

5171 S Cottonwood St Ste 305
Murray, UT 84107-5704
Phone (801) 507-9310

Other practice location 1

853 N Church St Ste 701
Spartanburg, SC 29303-3003
Phone (864) 560-1650

Other practice location 2

500 15th Ave S
Great Falls, MT 59405-4324
Phone (406) 731-8888

Other practice location 3

450 W Il Route 22
Barrington, IL 60010-1919
Phone (847) 381-0123

Other identifiers 1

IdentifierTypeStateIssuer
805151400MedicaidID

Other names 1

  • Dr. Robert Timothy Thurman Other name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address rthurman229594@direct-srhs.et0939.epichosted.com Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address rthurman350830@direct.myadvocateaurora.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, WI, MT, IL4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20210929003757 SC Practitioner - Undersea and Hyperbaric Medicine 6204739089 Reassigns benefits to 1 organization
I20230104001151 WI Practitioner - Undersea and Hyperbaric Medicine 6204739089
I20230926001138 MT Practitioner - Preventive Medicine 6204739089 Reassigns benefits to 1 organization
I20231120000252 IL Practitioner - Undersea and Hyperbaric Medicine 6204739089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Preventive Medicine
Education
University of Miami, LM Miller School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benefis Hospitals IncGroup PAC ID 1153235296, 390 clinicians

Practice addresses (Care Compare)

500 15TH Ave S
Great Falls, MT 59405-4324
Phone (406) 455-5000

Hospital & facility affiliations

  • Benefis Hospitals Inc Hospital, Great Falls, MT, CCN 270012

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue142
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M7428IDMDSpecialist
128404MTMDUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
9704205-8905UTMDUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
1254WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Medical Center Current Accepting new patients
Spartanburg Medical Center CurrentSince Sep 15, 2021 Accepting new patients
Advocate Health & Hospitals Corporation CurrentSince Dec 8, 2023 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Dec 8, 2023 Accepting new patients
Benefis Hospitals Inc Specialist CurrentSince Sep 13, 2023 Accepting new patients
Spartanburg Medical Center CurrentSince Sep 15, 2021 Accepting new patients
Tim Thurman MD PC PastSince Jan 1, 1990 Accepting new patients
Benefis Hospitals, Inc. Past Accepting new patients
Idaho Falls Hand Surgery Specialist PastSince Jan 1, 1990 Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

450 W State Route 22
South Barrington, IL 60010
Phone (847) 381-0123

500 15th Ave S
Great Falls, MT 59405
Phone (406) 455-2021

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132

11 Doctors Park Dr
Ste 200
Spartanburg, SC 29307
Phone (864) 573-3634

853 N Church St
Ste 701
Spartanburg, SC 29303
Phone (864) 560-1650

101 E Wood St
Ste 300
Spartanburg, SC 29303
Phone (864) 560-6554

853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928

Interoperability endpoints

  • Direct secure messaging: rthurman229594@direct-srhs.et0939.epichosted.com

Organizations & group practices 10

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1104905967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5171 S COTTONWOOD ST STE 305",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075704",
            "telephone_number": "801-507-9310",
            "fax_number": "801-507-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 ERWIN RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054699",
            "telephone_number": "919-684-8111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "853 N Church St Ste 701",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293033003",
            "country_code": "US",
            "telephone_number": "864-560-1650",
            "fax_number": "864-560-1655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 15th Ave S",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "MT",
            "postal_code": "594054324",
            "country_code": "US",
            "telephone_number": "406-731-8888",
            "fax_number": "406-731-8310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 W Il Route 22",
            "address_purpose": "LOCATION",
            "city": "Barrington",
            "state": "IL",
            "postal_code": "600101919",
            "country_code": "US",
            "telephone_number": "847-381-0123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THURMAN",
        "first_name": "ROBERT",
        "middle_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "UT",
            "license": "9704205-8905",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ID",
            "license": "M7428",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "IL",
            "license": "036167461",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "MT",
            "license": "128404",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805151400",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rthurman229594@direct-srhs.et0939.epichosted.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "rthurman229594@direct-srhs.et0939.epichosted.com",
            "address_1": "853 N Church St Ste 701",
            "city": "Spartanburg",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293033003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "450 W Il Route 22",
            "city": "Barrington",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600101919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rthurman350830@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "450 W Il Route 22",
            "city": "Barrington",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600101919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "THURMAN",
            "middle_name": "TIMOTHY",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.