Individual provider Active NPI

Melvin Delaine Thornbury Jr., M.D.

  • Obstetrics Physician
  • Albertville, AL
National Provider Identifier
1386683902
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
14828 Issued in AL
Practice address
431 N Carlisle St
Suite 220
Albertville, AL 35950-1733
Phone
(256) 840-4520
Fax
(256) 840-4527
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 14828 AL Primary

Addresses

Primary practice location

431 N Carlisle St
Suite 220
Albertville, AL 35950-1733

Mailing address

415 Martling Rd
Albertville, AL 35951-7209
Phone (256) 660-5560

Other identifiers 2

IdentifierTypeStateIssuer
51550422MedicaidAL
51550422OtherALBLUE CROSS BLUE SHIELD

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
I20111115000552 AL Practitioner - Obstetrics/Gynecology 1254493034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Alabama School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Melvin D Thornbury Jr MD PCGroup PAC ID 8628242344, 3 clinicians

Practice addresses (Care Compare)

415 Martling Rd
Albertville, AL 35951-7209
Phone 2566605560102

Hospital & facility affiliations

  • Marshall Medical Centers Hospital, Boaz, AL, CCN 010005

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14828ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Melvin D Thornbury Jr MD PC Obstetrics CurrentSince Oct 1, 2001 Accepting new patients
HH Health System - Marshall LLC Past Accepting new patients

Locations

431 N Carlisle St
Albertville, AL 35950
Phone (256) 251-2566

431 N Carlisle St
Ste 220
Albertville, AL 35950
Phone (256) 840-4520

415 Martling Rd
Albertville, AL 35951
Phone (256) 660-5560

Organizations & group practices 2

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 1

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1386683902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 MARTLING RD",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359517209",
            "telephone_number": "256-660-5560",
            "fax_number": "256-660-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 N CARLISLE ST",
            "address_2": "SUITE 220",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359501733",
            "telephone_number": "256-840-4520",
            "fax_number": "256-840-4527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNBURY",
        "first_name": "MELVIN",
        "middle_name": "DELAINE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "AL",
            "license": "14828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51550422",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51550422",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albertville, AL

Sources for this page

Verify at the official NPI Registry.