Trey Lynn Kidd, MD
Individual provider Active NPI Internal Medicine Physician · Lincoln, AL
NPI 1396431334 · NPPES record last updated Jun 30, 2026
Key facts
- NPI
- 1396431334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MD.50129 (AL)
- Practice address
- 47344 US Highway 78
Lincoln, AL 35096-6748 - Phone
- (205) 763-7844
- Fax
- (205) 763-7235
- NPI assigned
- Apr 13, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Alabama School of Medicine, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 11407
Birmingham, AL 35202
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260611003550 | AL | Practitioner - Internal Medicine | 5698247534 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.48522 | AL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BW Orthopedic & Sports Medicine Practice LLC | Past | Accepting new patients |
Interoperability endpoints
- trey.kidd.1@19249.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD.50129 | AL | Yes |
Addresses
Primary practice location
47344 US Highway 78
Lincoln, AL 35096-6748
Mailing address
3500 Blue Lake Dr Ste 495
Vestavia, AL 35243-1975
Phone (205) 763-7848
Other practice location 1
2000 Pepperell Pkwy
Opelika, AL 36801-5452
Phone (334) 364-3300
Other providers in Lincoln, AL
- Sonja George
- Kassidy Lynn Goins
- Staci Marie Gray
- Stanley W. Jett
- Joyful Noise Speech Therapy
- Lincoln Dental Care, PC
- Lincoln EMS
- Lincoln Eye Center LLC
- Lincoln Family Dentistry
- Lincoln Family Practice PC
All providers in Lincoln, AL · Internal Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.