Sandra Lynne Durham, M.D. – Pain Medicine Physician

Key facts

NPI: 1487794301
Entity type: Individual (NPI type 1)
Primary specialty: Pain Medicine Physician 208VP0000X
License: 15350 (AL)
Practice address: 6801 Cahaba Valley Rd
Ste 208
Birmingham, AL 35242-9608
Phone: (205) 222-7651
NPI assigned: Feb 8, 2007
Sex: Female
Sole proprietor: Yes

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.

The Lighthouse Pain Clinic, PC Pain Medicine Physician · Hoover, AL · NPI 1588794796

NPD (past) Authorized official PAIN MEDICINE
Hammer Center for Pain Management Pain Medicine (Anesthesiology) Physician · Birmingham, AL · NPI 1427253822

NPD (past)

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
15350	AL	MD	Pharmacist

Practice roles

Organization	Specialty	Status	New patients
Hammer Center for Pain Management		Past	Accepting new patients
The Lighthouse Pain Clinic, PC	Pain Medicine	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pain Medicine Physician	208VP0000X	15350	AL	Yes

Addresses

Primary practice location

6801 Cahaba Valley Rd
Ste 208
Birmingham, AL 35242-9608

Mailing address

6801 Cahaba Valley Rd
Ste 208
Birmingham, AL 35242-9608
Phone (205) 222-7651

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 4, 2016.

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1487794301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 CAHABA VALLEY RD",
            "address_2": "STE 208",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352429608",
            "telephone_number": "205-222-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 CAHABA VALLEY RD",
            "address_2": "STE 208",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352429608",
            "telephone_number": "205-222-7651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "SANDRA",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "AL",
            "license": "15350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

All providers in Birmingham, AL · Pain 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 May 4, 2016. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.