Organization Active NPI

Thomas MD, LLC

  • Internal Medicine Physician
  • Birmingham, AL
National Provider Identifier
1134585565
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
THOMAS MD, LLC
Practice address
1430 Gadsden Hwy
Ste 112
Birmingham, AL 35235-3103
Phone
(205) 661-0003
Fax
(205) 661-3017
NPI assigned
Jan 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2016

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

Authorized official

Name
Barbara W Barnette
Title
Administrator
Phone
(205) 514-0559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1430 Gadsden Hwy
Ste 112
Birmingham, AL 35235-3103

Mailing address

1430 Gadsden Hwy
Ste 112
Birmingham, AL 35235-3103
Phone (205) 661-0003

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160223000982 AL Part B Supplier - Clinic/Group Practice 6901101385 Receives reassigned benefits from 1 practitioner
Practice locations: Birmingham, AL

National Provider Directory

National Provider Directory

Locations

3220 Edwards Lake Pkwy
Ste 108
Birmingham, AL 35235
Phone (205) 661-0003

1430 Gadsden Hwy
Ste 112
Birmingham, AL 35235
Phone (205) 661-0003

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452729600000",
    "number": "1134585565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 GADSDEN HWY",
            "address_2": "STE 112",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353103",
            "telephone_number": "205-661-0003",
            "fax_number": "205-661-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 GADSDEN HWY",
            "address_2": "STE 112",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353103",
            "telephone_number": "205-661-0003",
            "fax_number": "205-661-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-14",
        "last_updated": "2016-01-14",
        "status": "A",
        "authorized_official_last_name": "BARNETTE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "205-514-0559"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.