Individual provider Active NPI

Robert Daniel Thurman, MD

  • Diagnostic Radiology Physician
  • Bristol, TN
National Provider Identifier
1336397124
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
46169 Issued in TN
Practice address
3053 W State St
Bristol, TN 37620-1720
Phone
(423) 968-1144
NPI assigned
Sep 4, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 30930 AL
Diagnostic Radiology Physician 2085R0202X 30930 AL
Diagnostic Radiology Physician 2085R0202X 46169 TN Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

3053 W State St
Bristol, TN 37620-1720

Mailing address

3053 W State St
Bristol, TN 37620-1720
Phone (423) 968-1144

Other practice location 1

300 Utah St
Hiawatha, KS 66434-2326
Phone (785) 742-2131

Other practice location 2

800 Ravenhill Dr
Atchison, KS 66002-9204
Phone (913) 367-2131

Other practice location 3

1004 Progress Dr Ste 180&145
Lansing, KS 66043-6326
Phone (913) 297-3215

Other identifiers 27

IdentifierTypeStateIssuer
051117786OtherALBCBS
051117789OtherALBCBS
051117792OtherALBCBS
051117791OtherALBCBS
129537MedicaidAL
051117790OtherALBCBS
051117794OtherALBCBS
129541MedicaidAL
1529663MedicaidTN
4322971OtherTNBCBST
004030042OtherKSPTAN
129518MedicaidAL
129538MedicaidAL
051117788OtherALBCBS
129510MedicaidAL
Z17049OtherALVIVA
051117793OtherALBCBS
09305591MedicaidMS
129536MedicaidAL
051118672OtherALBCBS
129540MedicaidAL
30003913850001MedicaidKS
051117787OtherALBCBS
129506MedicaidAL
129513MedicaidAL
129539MedicaidAL
1336397124MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA, KS3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20120718000613 TN Practitioner - Diagnostic Radiology 6608054036 Reassigns benefits to 2 organizations
I20200520002091 VA Practitioner - Diagnostic Radiology 6608054036 Reassigns benefits to 1 organization
I20250210001334 KS Practitioner - Diagnostic Radiology 6608054036 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Tennessee, HSC, College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Ridge Radiology PCGroup PAC ID 7416860473, 77 clinicians
Radiology Specialists of St Joseph PCGroup PAC ID 3173508512, 18 clinicians
Hiawatha Hospital Association IncGroup PAC ID 9032007364, shared by 5 NPIs, 47 clinicians

Practice addresses (Care Compare)

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-2200

105 Fairlea CT
Lynchburg, VA 24503-2164
Phone (423) 968-1144

1092 Shady View Rd
Kingsport, TN 37664-5355
Phone (816) 271-6575

130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 244-6800

300 Utah St
Hiawatha, KS 66434-2326
Phone (785) 742-2131

Hospital & facility affiliations

  • Mosaic Life Care at St Joseph Hospital, Saint Joseph, MO, CCN 260006
  • Mosaic Medical Center - Maryville Hospital, Maryville, MO, CCN 261340
  • Amberwell Atchison Association Hospital, Atchison, KS, CCN 171382
  • Mosaic Medical Center Albany Hospital, Albany, MO, CCN 261328
  • Johnson City Medical Center Hospital, Johnson City, TN, CCN 440063

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30930ALMDDiagnostic Radiology Physician
46169TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amberwell Atchison Association CurrentSince Nov 1, 2025 Accepting new patients
Amberwell Atchison Association CurrentSince Nov 1, 2025 Accepting new patients
Hiawatha Hospital Association Inc Diagnostic Radiology CurrentSince Feb 4, 2025 Accepting new patients
Radiology Specialists of St Joseph PC Diagnostic Radiology CurrentSince Jan 6, 2025 Accepting new patients
Hiawatha Hospital Association Inc CurrentSince Feb 4, 2025 Accepting new patients
Hiawatha Hospital Association Inc CurrentSince Nov 1, 2025 Accepting new patients
Amberwell Atchison Association Past Accepting new patients
Amberwell Atchison Association PastSince May 25, 2025 Accepting new patients

Locations

800 Ravenhill Dr
Atchison, KS 66002
Phone (913) 367-2131

300 Utah St
Hiawatha, KS 66434
Phone (785) 742-6286

5325 Faraon St
Saint Joseph, MO 64506
Phone (816) 271-3500

Organizations & group practices 9

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

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
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    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1336397124",
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        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3053 W STATE ST",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376201720",
            "telephone_number": "423-968-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3053 W STATE ST",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376201720",
            "telephone_number": "423-968-1144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Utah St",
            "address_purpose": "LOCATION",
            "city": "Hiawatha",
            "state": "KS",
            "postal_code": "664342326",
            "country_code": "US",
            "telephone_number": "785-742-2131",
            "fax_number": "785-742-6558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Ravenhill Dr",
            "address_purpose": "LOCATION",
            "city": "Atchison",
            "state": "KS",
            "postal_code": "660029204",
            "country_code": "US",
            "telephone_number": "913-367-2131",
            "fax_number": "913-674-2023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1004 Progress Dr Ste 180&145",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "KS",
            "postal_code": "660436326",
            "country_code": "US",
            "telephone_number": "913-297-3215",
            "fax_number": "913-297-2732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THURMAN",
        "first_name": "ROBERT",
        "middle_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-04",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "AL",
            "license": "30930",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "30930",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "46169",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
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    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, TN

Sources for this page

Verify at the official NPI Registry.