Active NPI
Robert Daniel Thurman, MD
- Diagnostic Radiology Physician
- Bristol, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 46169
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051117786 | Other | AL | BCBS |
| 051117789 | Other | AL | BCBS |
| 051117792 | Other | AL | BCBS |
| 051117791 | Other | AL | BCBS |
| 129537 | Medicaid | AL | |
| 051117790 | Other | AL | BCBS |
| 051117794 | Other | AL | BCBS |
| 129541 | Medicaid | AL | |
| 1529663 | Medicaid | TN | |
| 4322971 | Other | TN | BCBST |
| 004030042 | Other | KS | PTAN |
| 129518 | Medicaid | AL | |
| 129538 | Medicaid | AL | |
| 051117788 | Other | AL | BCBS |
| 129510 | Medicaid | AL | |
| Z17049 | Other | AL | VIVA |
| 051117793 | Other | AL | BCBS |
| 09305591 | Medicaid | MS | |
| 129536 | Medicaid | AL | |
| 051118672 | Other | AL | BCBS |
| 129540 | Medicaid | AL | |
| 30003913850001 | Medicaid | KS | |
| 051117787 | Other | AL | BCBS |
| 129506 | Medicaid | AL | |
| 129513 | Medicaid | AL | |
| 129539 | Medicaid | AL | |
| 1336397124 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, VA, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
- Hiawatha Hospital Association Inc
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
- Mosaic Medical Center - Maryville
- Amberwell Atchison Association
- Mosaic Medical Center Albany
- Johnson City Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30930 | AL | MD | Diagnostic Radiology Physician |
| 46169 | TN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amberwell Atchison Association | Current | Accepting new patients | |
| Amberwell Atchison Association | Current | Accepting new patients | |
| Hiawatha Hospital Association Inc | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Specialists of St Joseph PC | Diagnostic Radiology | Current | Accepting new patients |
| Hiawatha Hospital Association Inc | Current | Accepting new patients | |
| Hiawatha Hospital Association Inc | Current | Accepting new patients | |
| Amberwell Atchison Association | Past | Accepting new patients | |
| Amberwell Atchison Association | Past | 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.
-
- Diagnostic Radiology Physician
- Saint Joseph, MO
- NPI 1679512701
TN
-
- Critical Access Hospital
- Atchison, KS
- NPI 1932151487
-
- Critical Access Hospital
- Hiawatha, KS
- NPI 1255421210
-
- Nutrition Education Nutritionist
- Hiawatha, KS
- NPI 1518572395
-
- Rural Health Clinic/Center
- Herington, KS
- NPI 1700669819
-
- Family Medicine Physician
- Hiawatha, KS
- NPI 1831273044
Diagnostic Radiology
-
- Family Medicine Physician
- Atchison, KS
- NPI 1528450913
-
- Rural Health Clinic/Center
- Lansing, KS
- NPI 1780391409
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1023434339
-
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1962915652
-
- General Acute Care Hospital
- Johnson City, TN
- NPI 1972606465
-
- Critical Access Hospital
- Atchison, KS
- NPI 1932151487
-
- General Acute Care Hospital
- Saint Joseph, MO
- NPI 1437259694
-
- Critical Access Hospital
- Maryville, MO
- NPI 1265906663
-
- Critical Access Hospital
- Albany, MO
- NPI 1306893268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773964800000",
"number": "1336397124",
"addresses": [
{
"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
}
],
"identifiers": [
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"desc": "Other (non-Medicare)",
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},
{
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"identifier": "051117789",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051117792",
"state": "AL"
},
{
"code": "01",
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"issuer": "BCBS",
"identifier": "051117791",
"state": "AL"
},
{
"code": "05",
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"identifier": "129537",
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"identifier": "051117790",
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},
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"issuer": "BCBS",
"identifier": "051117794",
"state": "AL"
},
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"issuer": null,
"identifier": "129541",
"state": "AL"
},
{
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"issuer": null,
"identifier": "1529663",
"state": "TN"
},
{
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"issuer": "BCBST",
"identifier": "4322971",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "004030042",
"state": "KS"
},
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"issuer": null,
"identifier": "129518",
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"identifier": "129538",
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},
{
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"issuer": "BCBS",
"identifier": "051117788",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129510",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIVA",
"identifier": "Z17049",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051117793",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09305591",
"state": "MS"
},
{
"code": "05",
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"issuer": null,
"identifier": "129536",
"state": "AL"
},
{
"code": "01",
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"issuer": "BCBS",
"identifier": "051118672",
"state": "AL"
},
{
"code": "05",
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"issuer": null,
"identifier": "129540",
"state": "AL"
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{
"code": "05",
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"identifier": "30003913850001",
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{
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{
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{
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"code": "05",
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}
],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.