Theodore Lee Allen, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

12544 Issued in AL

Practice address

Dept of Deployment Health Womc
Physical Exam
Fort Bragg, NC 28310

Phone

(910) 907-6390

Fax

(910) 907-8451

NPI assigned

Mar 20, 2006

Last updated

Mar 28, 2017By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1316906399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 REILLY ROAD",
            "address_2": "MCXC-COD CREDENTIALS WOMACK ARMY MEDICAL CENTER",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "28310",
            "telephone_number": "910-907-8922",
            "fax_number": "910-907-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DEPT OF DEPLOYMENT HEALTH WOMC",
            "address_2": "PHYSICAL EXAM",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "28310",
            "telephone_number": "910-907-6390",
            "fax_number": "910-907-8451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "THEODORE",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "12544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Mary Allen, ANP
• Jacqueline Kay Allen, CNM
• Jedidiah Allen, DDS, MS, ABGD
• Megan Karen Allen, MD
• Rodney Allen Sr., M.D.
• Fay Alleyne
• Annie Sudarmo Alman
• Michael Stewart Almony, DDS
• Mark Charles Alonzo, P.A.
• Veronica L Alston, PA-C

• General Practice Physician in Fort Bragg, NC
• Providers in Fort Bragg, NC by specialty
• General Practice Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.