Melvin D Thornbury Jr MD PC

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

License

14828 Issued in AL

Legal business name

MELVIN D THORNBURY JR MD PC

Practice address

2525 US Highway 431
Suite 220
Boaz, AL 35957-5934

Phone

(256) 840-4520

Fax

(256) 840-4527

NPI assigned

Nov 9, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Melvin Delaine Thornbury Jr., M.D.NPI 1386683902

Title

M.D.

Phone

(256) 840-4520

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melvin Delaine Thornbury Jr., M.D.

  • Obstetrics Physician
  • Albertville, AL
  • NPI 1386683902
  Medicare reassignment Care Compare group NPD Authorized official
• Cynthia N Evans, CRNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Albertville, AL
  • NPI 1609806066
  Medicare reassignment Care Compare group NPD
• Suzanne Howell, CRNP

  • Family Nurse Practitioner
  • Albertville, AL
  • NPI 1891155941
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320796800000",
    "number": "1740567486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 US HIGHWAY 431",
            "address_2": "SUITE 220",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359575967",
            "telephone_number": "256-840-4520",
            "fax_number": "256-840-4527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 US HIGHWAY 431",
            "address_2": "SUITE 220",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359575934",
            "telephone_number": "256-840-4520",
            "fax_number": "256-840-4527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELVIN D THORNBURY JR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-09",
        "last_updated": "2011-11-09",
        "status": "A",
        "authorized_official_last_name": "THORNBURY",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "DELAINE",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "256-840-4520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "AL",
            "license": "14828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51550422",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51550422",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise McInnis
• Steven M McKinney, D.C.
• Med-South, Inc.
• Medical Centers Surgical Clinic
• Medpro Mobile LLC
• Michael E. Williamson D.M.D, P.C.
• Mill Street Pharmacy Inc
• Brandy P Miller, CRNP
• Gregory Don Miller, CRNA
• MMC Inpatient Physician Services

• Obstetrics Physician in Boaz, AL
• Providers in Boaz, AL by specialty
• Obstetrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.