Individual provider Active NPI

Thomas Paul Alderson, M.D.

  • Urology Physician
  • Sulphur, LA
National Provider Identifier
1477544815
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
07139R Issued in LA
Practice address
1327 Stelly Lane
Suite 2
Sulphur, LA 70663
Phone
(337) 528-7898
Fax
(337) 528-7427
NPI assigned
Nov 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 07139R LA Primary

Addresses

Primary practice location

1327 Stelly Lane
Suite 2
Sulphur, LA 70663

Mailing address

PO Box 5009
Brentwood, TN 37024-5009
Phone (615) 221-3642

Other identifiers 5

IdentifierTypeStateIssuer
1900198OtherLAUNITED HEALTHCARE
340004858OtherLARAILROAD MEDICARE
41480555490OtherLABLUE CROSS BLUE SHIELD
LA6002281OtherLATRICARE
1361674MedicaidLA

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 Medicine

State licenses

LicenseStateTypeSpecialty
07139RLAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Center of Southwest Louisiana Inc Urology Current Accepting new patients
Urology Specialty and Surgery Center of Southwest Louisiana Past Accepting new patients

Locations

234 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 433-5282

1327 Stelly Ln
Ste 2
Sulphur, LA 70663
Phone (337) 528-7898

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1885/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1477544815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5009",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370245009",
            "telephone_number": "615-221-3642",
            "fax_number": "615-371-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 STELLY LANE",
            "address_2": "SUITE 2",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "70663",
            "telephone_number": "337-528-7898",
            "fax_number": "337-528-7427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDERSON",
        "first_name": "THOMAS",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "LA",
            "license": "07139R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1900198",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "340004858",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "41480555490",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "LA6002281",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1361674",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.