Individual provider Active NPI

Thomas R Corley, MD

  • Internal Medicine Physician
  • Gadsden, AL
National Provider Identifier
1679640817
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9848 Issued in AL
Practice address
303 Bay St
Suite 303
Gadsden, AL 35901-5265
Phone
(256) 546-2838
Fax
(256) 546-7472
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9848 AL Primary

Addresses

Primary practice location

303 Bay St
Suite 303
Gadsden, AL 35901-5265

Mailing address

303 Bay St
Suite 303
Gadsden, AL 35901-5265
Phone (256) 546-2838

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
I20060117000305 AL Practitioner - Internal Medicine 8224052337 Practice locations: Gadsden, AL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9848ALMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1679640817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 BAY ST",
            "address_2": "SUITE 303",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015265",
            "telephone_number": "256-546-2838",
            "fax_number": "256-546-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 BAY ST",
            "address_2": "SUITE 303",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015265",
            "telephone_number": "256-546-2838",
            "fax_number": "256-546-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORLEY",
        "first_name": "THOMAS",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "9848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.