Individual provider Active NPI

Thomas G Harrell, MD

  • Vascular & Interventional Radiology Physician
  • Birmingham, AL
National Provider Identifier
1598747719
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
MD8894 Issued in AL
Practice address
7500 Hugh Daniel Dr
Birmingham, AL 35242-7145
Phone
(205) 995-4900
Fax
(205) 995-0203
NPI assigned
Nov 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 8894 AL
Vascular & Interventional Radiology Physician 2085R0204X MD8894 AL Primary

Addresses

Primary practice location

7500 Hugh Daniel Dr
Birmingham, AL 35242-7145

Mailing address

2055 Normandie Drive
Suite 108
Montgomery, AL 36111-2732
Phone (334) 269-6337

Other identifiers 15

IdentifierTypeStateIssuer
009901155MedicaidAL
470000833OtherGATRAVELERS RR M/C MONTCLAI
51000185OtherALBC SYLACAUGA
51511245OtherALBC 280
009934112MedicaidAL
470001757OtherGATRAVELERS RR M/C SHELBY
51510473OtherALBC GREYSTONE
009919955MedicaidAL
470001761OtherGATRAVELERS RR M/C 280
51511246OtherALBC MONTCLAIR
009901165MedicaidAL
009908845MedicaidAL
51510475OtherALBC SHELBY
P00206200OtherGATRAVELERS RR M/C SYLACAUG
470000666OtherGATRAVELERS RR M/C GREYSTON

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070511000462 AL Practitioner - Diagnostic Radiology 1951206655 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8894ALMDDiagnostic Radiology Physician
MD8894ALMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery Radiology Associates, PA CurrentSince Dec 1, 2010 Accepting new patients
Selma Radiology Associates P C CurrentSince Dec 1, 2010 Accepting new patients
Southern Radiology Specialists, PLLC Diagnostic Radiology CurrentSince Oct 1, 2012 Accepting new patients
Griffin Imaging, LLC Diagnostic Radiology Past Accepting new patients
Open MRI of Decatur LLC Past Accepting new patients
Radiology of Hunstville PC Diagnostic Radiology Past Accepting new patients
Open MRI of Oxford LLC Past Accepting new patients
Open MRI of Marshall LLC Past Accepting new patients
Vista Radiology, PC. Diagnostic Radiology Past Accepting new patients
Robert Eichelberger, M.D., P.C. Past Accepting new patients

Locations

105 US Highway 80 E
Demopolis, AL 36732
Phone (334) 287-2669

2055 Normandie Dr
Ste 108
Montgomery, AL 36111
Phone (334) 288-4624

2055 Normandie Dr
Montgomery, AL 36111
Phone (334) 288-2100

7104 University Ct
Montgomery, AL 36117
Phone (334) 215-0711

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

2055 Normandie Dr
Ste 200
Montgomery, AL 36111
Phone (205) 262-0655

2000 Pepperell Pkwy
Opelika, AL 36801
Phone (334) 364-3300

Interoperability endpoints

  • Direct secure messaging: clinicfive.thomasharrell@152819.advancedmd-direct.com

Organizations & group practices 10

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": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1598747719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 NORMANDIE DRIVE",
            "address_2": "SUITE 108",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361112732",
            "telephone_number": "334-269-6337",
            "fax_number": "334-834-0657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 HUGH DANIEL DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352427145",
            "telephone_number": "205-995-4900",
            "fax_number": "205-995-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "THOMAS",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "8894",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "AL",
            "license": "MD8894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009901155",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS RR M/C MONTCLAI",
            "identifier": "470000833",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC SYLACAUGA",
            "identifier": "51000185",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC 280",
            "identifier": "51511245",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009934112",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS RR M/C SHELBY",
            "identifier": "470001757",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC GREYSTONE",
            "identifier": "51510473",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009919955",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS RR M/C 280",
            "identifier": "470001761",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC MONTCLAIR",
            "identifier": "51511246",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009901165",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009908845",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC SHELBY",
            "identifier": "51510475",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS RR M/C SYLACAUG",
            "identifier": "P00206200",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS RR M/C GREYSTON",
            "identifier": "470000666",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.