Individual provider Active NPI

Richard Timothy McGlaughlin, M.D.

  • Gastroenterology Physician
  • Bessemer, AL
National Provider Identifier
1124123666
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
12015 Issued in AL
Practice address
985 9TH Ave SW Ste 307
Bessemer, AL 35022-7809
Phone
(205) 481-7384
Fax
(205) 481-7389
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 12015 AL Primary

Addresses

Primary practice location

985 9TH Ave SW Ste 307
Bessemer, AL 35022-7809

Mailing address

985 9TH Ave SW Ste 307
Bessemer, AL 35022-7809
Phone (205) 481-7384

Other identifiers 1

IdentifierTypeStateIssuer
000017825MedicaidAL

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
I20100616000775 AL Practitioner - Gastroenterology 8123082302

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12015ALMDGastroenterology Physician

Networks

  • bcbs alabama network 01B0
  • bcbs alabama network 01A0
  • bcbs alabama network 01I0
  • bcbs alabama network 01G0
  • bcbs alabama network 01E0
  • bcbs alabama network 01H0

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1124123666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 9TH AVE SW STE 307",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350227809",
            "telephone_number": "205-481-7384",
            "fax_number": "205-481-7389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 9TH AVE SW STE 307",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350227809",
            "telephone_number": "205-481-7384",
            "fax_number": "205-481-7389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGLAUGHLIN",
        "first_name": "RICHARD",
        "middle_name": "TIMOTHY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AL",
            "license": "12015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000017825",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bessemer, AL

Sources for this page

Verify at the official NPI Registry.