Individual provider Active NPI

Timothy Bret Tabor, M.D.

  • Diagnostic Radiology Physician
  • Anniston, AL
National Provider Identifier
1295741866
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
00021568 Issued in AL
Practice address
1699 Golden Springs Rd
Anniston, AL 36207-7097
Phone
(256) 835-0835
Fax
(256) 835-1939
NPI assigned
Aug 1, 2006
Last updated
Oct 22, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 00021568 AL Primary

Addresses

Primary practice location

1699 Golden Springs Rd
Anniston, AL 36207-7097

Mailing address

820 S 4TH St
Gadsden, AL 35901-5223
Phone (256) 549-0008

Other practice location 1

820 S 4th St
Gadsden, AL 35901-5223
Phone (256) 549-0008

Other identifiers 1

IdentifierTypeStateIssuer
051551974MedicaidAL

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
I20040401000904 AL Practitioner - Diagnostic Radiology 7214929025 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
JC Edwards School of Medicine, Marshall University, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Imaging of Alabama P CGroup PAC ID 6800940131, 2 clinicians
Advanced Imaging of Gadsden LLCGroup PAC ID 6204890916, 3 clinicians

Practice addresses (Care Compare)

1699 Golden Springs Rd
Anniston, AL 36207-7097
Phone (256) 835-0835

820 S 4TH St
Gadsden, AL 35901-5223
Phone (256) 549-0008

Merit-based Incentive Payment System (MIPS)

Final score
31.67 of 100Reported as individual
Quality
63.33
Improvement activities
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00021568ALMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Imaging of Alabama LLC Diagnostic Radiology CurrentSince Feb 1, 2017 Accepting new patients
Advanced Imaging of Gadsden LLC Diagnostic Radiology CurrentSince Feb 1, 2017 Accepting new patients
Alabama Radiologists PC Diagnostic Radiology Past Accepting new patients
Jacksonville Medical Professional Services LLC Past Accepting new patients
Taylor Internal Medicine of Mobile Past Accepting new patients

Locations

1699 Golden Springs Rd
Anniston, AL 36207
Phone (256) 835-0835

820 S 4th St
Gadsden, AL 35901
Phone (256) 543-0008

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1295741866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S 4TH ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015223",
            "telephone_number": "256-549-0008",
            "fax_number": "256-549-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1699 GOLDEN SPRINGS RD",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362077097",
            "telephone_number": "256-835-0835",
            "fax_number": "256-835-1939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 S 4th St",
            "address_purpose": "LOCATION",
            "city": "Gadsden",
            "state": "AL",
            "postal_code": "359015223",
            "country_code": "US",
            "telephone_number": "256-549-0008",
            "fax_number": "256-549-0401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TABOR",
        "first_name": "TIMOTHY",
        "middle_name": "BRET",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "00021568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051551974",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

Verify at the official NPI Registry.