Individual provider Active NPI

Sandra Lynne Durham, M.D.

  • Pain Medicine Physician
  • Birmingham, AL
National Provider Identifier
1487794301
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
15350 Issued in AL
Practice address
6801 Cahaba Valley Rd
Ste 208
Birmingham, AL 35242-9608
Phone
(205) 222-7651
NPI assigned
Feb 8, 2007
Last updated
May 4, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 15350 AL Primary

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

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15350ALMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hammer Center for Pain Management Past Accepting new patients
The Lighthouse Pain Clinic, PC Pain Medicine Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.