Active NPI
Tuscaloosa Breast Center PC
- Specialist
- Tuscaloosa, AL
National Provider Identifier
1124372867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 12102
- Legal business name
- TUSCALOOSA BREAST CENTER PC
- Practice address
- 701 University Blvd E
Suite 606
Tuscaloosa, AL 35401-2086 - Phone
- (205) 752-2501
- Fax
- (205) 759-2868
- NPI assigned
- Nov 2, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lee Thomas, M.D..
- Title
- President
- Phone
- (205) 752-2501
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 12102 | AL | Primary |
Addresses
Primary practice location
701 University Blvd E
Suite 606
Tuscaloosa, AL 35401-2086
Mailing address
701 University Blvd E
Suite 606
Tuscaloosa, AL 35401-2086
Phone (205) 752-2501
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000036823 | Medicaid | AL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Tuscaloosa, AL
- NPI 1316947641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351814400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1351814400000",
"number": "1124372867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 UNIVERSITY BLVD E",
"address_2": "SUITE 606",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354012086",
"telephone_number": "205-752-2501",
"fax_number": "205-759-2868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 UNIVERSITY BLVD E",
"address_2": "SUITE 606",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354012086",
"telephone_number": "205-752-2501",
"fax_number": "205-759-2868"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TUSCALOOSA BREAST CENTER PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-02",
"last_updated": "2012-11-02",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "LEE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "205-752-2501",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D.."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "AL",
"license": "12102",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000036823",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.