Thomas Alexander, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Chapel Hill, NC
NPI 1275768640 · NPPES record last updated May 28, 2009
Key facts
- NPI
- 1275768640
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- License
- 157228 (NC)
- Practice address
- 101 Manning Dr
Dept of Med/Peds
Chapel Hill, NC 27514-4220 - Phone
- (919) 966-1072
- Fax
- (919) 966-8419
- NPI assigned
- May 28, 2009
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170516000932 | NC | Practitioner - Pediatric Medicine |
4789902552 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 157228 | NC | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of North Carolina at Chapel Hill | Current |
Accepting new patients |
Locations
101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485
Interoperability endpoints
- talexander234373@direct.unc.nchie.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 157228 | NC | Yes |
Addresses
Primary practice location
101 Manning Dr
Dept of Med/Peds
Chapel Hill, NC 27514-4220
Mailing address
101 Manning Dr
Dept of Med/Peds
Chapel Hill, NC 27514-4220
Phone (919) 966-1072
Other providers in Chapel Hill, NC
- Brittany Marie Alexander
- Joshua J Alexander
- Maurice Deangelo Alexander
- Nicole Alexander
- Rachael Alexander
- Alexandra Boudreau and Kevin Ricker
- Marley Alexis
- Joanne Chellam Alfred
- Amjad Mohammed G Alghaihab
- Catherine Alguire
All providers in Chapel Hill, NC · Student in an Organized Health Care Education/Training Program in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.