Individual provider Active NPI

Thomas Bence Carter, DO

  • Nephrology Physician
  • Opelika, AL
National Provider Identifier
1366555674
Registry record updated Jun 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
DO175 Issued in AL
Practice address
2609 Village Professional Dr
Suite 3
Opelika, AL 36801-5442
Phone
(334) 749-6523
Fax
(334) 742-0242
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X DO175 AL Primary
Internal Medicine Physician 207R00000X DO175 AL

Addresses

Primary practice location

2609 Village Professional Dr
Suite 3
Opelika, AL 36801-5442

Mailing address

2609 Village Professional Dr
Suite 3
Opelika, AL 36801-5442
Phone (334) 749-6523

Other identifiers 8

IdentifierTypeStateIssuer
1366555674OtherALNPI
51036642OtherALBCBS LAFAYETTE
CC1726OtherALRRMC
51028339OtherALBCBS DADEVILLE
51028340OtherALBCBS LANGDALE
51028341OtherALBCBS TUSKEGEE
51028338OtherALBCBS OPELIKA
528701590MedicaidAL

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
I20100923000681 AL Practitioner - Nephrology 8729104195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Nova Southeastern College of Osteo Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hypertension and NephrologyGroup PAC ID 3971529793, 9 clinicians

Practice addresses (Care Compare)

121 N 20TH St
Suite 20a
Opelika, AL 36801-5456
Phone (334) 749-6523

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hypertension & Nephrology Internal Medicine CurrentSince Jun 18, 2010 Accepting new patients

Locations

3368 Highway 280
Ste G1
Alexander City, AL 35010
Phone (256) 329-0638

3368 Highway 280
Ste 100
Alexander City, AL 35010
Phone (256) 215-3601

211 E University Dr
Auburn, AL 36832
Phone (334) 501-8890

52 Water Works Rd
Dadeville, AL 36853
Phone (256) 825-2740

2609 Village Professional Dr N
Ste 3
Opelika, AL 36801

121 N 20th St
Ste 20A
Opelika, AL 36801
Phone (334) 749-1268

4459 Highway 431
Roanoke, AL 36274
Phone (334) 863-8365

314 W Spring St
Sylacauga, AL 35150
Phone (256) 249-9660

802 E Martin Luther King Hwy
Tuskegee, AL 36083
Phone (334) 727-9447

8 Medical Park N
Valley, AL 36854
Phone (334) 756-4192

8 Medical Park
Valley, AL 36854
Phone (334) 756-4192

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25334/brand/1/csg/1/fhir/r4
  • Direct secure messaging: tcarter65505@direct.acumenmd.com

Organizations & group practices 1

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 3

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.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276819200000",
    "number": "1366555674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 VILLAGE PROFESSIONAL DR",
            "address_2": "SUITE 3",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368015442",
            "telephone_number": "334-749-6523",
            "fax_number": "334-742-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 VILLAGE PROFESSIONAL DR",
            "address_2": "SUITE 3",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368015442",
            "telephone_number": "334-749-6523",
            "fax_number": "334-742-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "THOMAS",
        "middle_name": "BENCE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2010-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AL",
            "license": "DO175",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "DO175",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1366555674",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS LAFAYETTE",
            "identifier": "51036642",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "CC1726",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DADEVILLE",
            "identifier": "51028339",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS LANGDALE",
            "identifier": "51028340",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TUSKEGEE",
            "identifier": "51028341",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OPELIKA",
            "identifier": "51028338",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528701590",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelika, AL

Sources for this page

Verify at the official NPI Registry.