Douglas Shirley Reynolds, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

10975 Issued in AL

Practice address

904 Anna Ave
Tuscaloosa, AL 35401

Phone

(205) 345-6960

Fax

(205) 345-1147

NPI assigned

Sep 13, 2006

Last updated

Nov 2, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Crimson Care LLC

  • Family Medicine Physician
  • Tuscaloosa, AL
  • NPI 1437668639
  Medicare reassignment NPD
• Crimson Urgent Care, LLC

  • Family Medicine Physician
  • Tuscaloosa, AL
  • NPI 1831205228
  Medicare reassignment NPD
• First Care LLC

  • Family Medicine Physician
  • Tuscaloosa, AL
  • NPI 1164767083
  Medicare reassignment NPD
• University Family Practice, P.C.

  • Family Medicine Physician
  • Tuscaloosa, AL
  • NPI 1225137763
  Authorized official Same address or phone

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1265537567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 ANNA AVE",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "35401",
            "telephone_number": "205-345-6960",
            "fax_number": "205-345-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 ANNA AVE",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "35401",
            "telephone_number": "205-345-6960",
            "fax_number": "205-345-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "DOUGLAS",
        "middle_name": "SHIRLEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "10975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "08350",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Restore Therapy Services, LTD (Capstone Village)
• Retina Specialists of West Alabama LLC
• Caitlin Colleen Retterer, PSY.D.
• Revive Counseling and Wellness Services
• Joana Reyes, CRNP
• Martha W. Reynolds, MS, LPC
• Rhodes & Rhodes Family Dentistry, LLC (Rhodes & Rhodes Family Dentistry)
• Donald Wayne Rhodes Jr., DC, PHD
• Jennifer Rose Rhodes, LCSW
• Kali Celine Rhodes

• Family Medicine Physician in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.