Individual provider Active NPI

Alfred James Tolbert, PH.D.

  • Audiologist
  • Downingtown, PA
National Provider Identifier
1427083500
Registry record updated Aug 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AT000281L Issued in PA
Practice address
1100 Shadow Wood Dr
Downingtown, PA 19335-4049
Phone
(610) 269-6100
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AT000281L PA Primary
Speech-Language Pathologist 235Z00000X SL000071L PA

Addresses

Primary practice location

1100 Shadow Wood Dr
Downingtown, PA 19335-4049

Mailing address

1100 Shadow Wood Dr
Downingtown, PA 19335-4049
Phone (610) 269-6100

Other identifiers 13

IdentifierTypeStateIssuer
0019752570002MedicaidPA
30005307OtherPAKEYSTONE MERCY
0019753570001MedicaidPA
0342973000OtherPASPEECH THERAPY HMO BLUE
302748OtherPAHEALTH AMERICA
4360649OtherPAAUD/SLP AETNA HMO
0342973000OtherPASPEECH THERAPIST KHPE
20027710OtherPAAMERIHEALTH
0000567314OtherPASPEECH THERAPIST PPO BLUE
7033420OtherPAAUD/SLP AETNA PPO/POS
0000208144OtherPAAUDIOLOGY BLUE CROSS/BLUE
0027032000OtherPAAUDIOLOGY HMO PER. CHOICE
0027032000OtherPAAUDIOLOGY KHPE

Other names 1

  • Dr. Alfred James Tolbert Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SL000071LPAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187827200000",
    "number": "1427083500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SHADOW WOOD DR",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193354049",
            "telephone_number": "610-269-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SHADOW WOOD DR",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193354049",
            "telephone_number": "610-269-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLBERT",
        "first_name": "ALFRED",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PA",
            "license": "AT000281L",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL000071L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019752570002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "30005307",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019753570001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH THERAPY HMO BLUE",
            "identifier": "0342973000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "302748",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUD/SLP AETNA HMO",
            "identifier": "4360649",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH THERAPIST KHPE",
            "identifier": "0342973000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "20027710",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH THERAPIST PPO BLUE",
            "identifier": "0000567314",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUD/SLP AETNA PPO/POS",
            "identifier": "7033420",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUDIOLOGY BLUE CROSS/BLUE",
            "identifier": "0000208144",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUDIOLOGY HMO PER. CHOICE",
            "identifier": "0027032000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUDIOLOGY KHPE",
            "identifier": "0027032000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALFRED",
            "last_name": "TOLBERT",
            "middle_name": "JAMES",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Downingtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.