Individual provider Active NPI

Jerry Thomas McLane, MD

  • Internal Medicine Physician
  • Bessemer, AL
National Provider Identifier
1780660340
Registry record updated Apr 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
8903 Issued in AL
Practice address
915 Medical Center Dr
Bessemer, AL 35022-6025
Phone
(205) 481-8664
Fax
(205) 481-8665
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2010

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 8903 AL Primary

Addresses

Primary practice location

915 Medical Center Dr
Bessemer, AL 35022-6025

Mailing address

1988 Rocky Brook Dr
Birmingham, AL 35243-1750
Phone (205) 969-3021

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
I20041110000204 AL Practitioner - Internal MedicinePractitioner - Geriatric MedicinePractitioner - Hospice/Palliative CarePractitioner - Geriatric Psychiatry 0547223661 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Concentric Hospitalist Group PC Internal Medicine CurrentSince Nov 29, 2017 Accepting new patients
C & G Healthcare Services, Inc. Past Accepting new patients
Met-Test, LLC PastSince Jul 8, 2004 Accepting new patients

Locations

995 9th Ave SW
Bessemer, AL 35022
Phone (205) 481-7155

5000 Medical West Way
Bessemer, AL 35022
Phone (205) 481-7312

Organizations & group practices 3

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": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272326400000",
    "number": "1780660340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1988 ROCKY BROOK DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352431750",
            "telephone_number": "205-969-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 MEDICAL CENTER DR",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350226025",
            "telephone_number": "205-481-8664",
            "fax_number": "205-481-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLANE",
        "first_name": "JERRY",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2010-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "8903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bessemer, AL

Sources for this page

Verify at the official NPI Registry.