Active NPI
Gordon Thacker Connor, MD
- Internal Medicine Physician
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 10818
- Practice address
- 2018 Brookwood Medical Center Dr
Professional Office Building Ste 209
Birmingham, AL 35209 - Phone
- (205) 877-2193
- Fax
- (205) 877-2196
- NPI assigned
- Aug 4, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 10818 | AL | Primary |
Addresses
Primary practice location
2018 Brookwood Medical Center Dr
Professional Office Building Ste 209
Birmingham, AL 35209
Mailing address
2018 Brookwood Medical Center Dr
Professional Office Building Ste 209
Birmingham, AL 35209
Phone (205) 877-2193
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51086783 | Other | AL | BCBS OF AL INSURANCE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Emory University School of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2018 Brookwood Medical Ctr Dr
Birmingham, AL 35209-6870
Phone (205) 877-2193
33637 US Hwy 280
Childersburg, AL 35044-3028
Phone (256) 378-3313
Hospital & facility affiliations
- Amedisys Hospice of Birmingham
- Coosa Valley Medical Center
- Walker Baptist Medical Center
- Baptist Health Brookwood Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10818 | AL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Management and Medical Services, LLC | Current | Accepting new patients | |
| Gordon T. Connor,M .D., LLC | Internal Medicine | Current | Accepting new patients |
| Southern Orthopaedic Specialists, P.C. | Past | Accepting new patients |
Locations
2018 Brookwood Medical Ctr Dr
Ste 209
Birmingham, AL 35209
Phone (205) 877-2193
33637 US Highway 280
Childersburg, AL 35044
Phone (205) 228-7600
34011 US Highway 280
Childersburg, AL 35044
Phone (256) 378-3313
Networks
- bcbs alabama network 01H0
- bcbs alabama network 01C0
- bcbs alabama network 01I0
- bcbs alabama network 01E0
- bcbs alabama network 01A0
- bcbs alabama network 01B0
- bcbs alabama network 01G0
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Childersburg Primary Care
- Family Medicine Physician
- Childersburg, AL
- NPI 1952484081
-
- Internal Medicine Physician
- Birmingham, AL
- NPI 1992409395
-
- Orthopaedic Surgery Physician
- Birmingham, AL
- NPI 1568516151
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Amedisys Hospice Care of Gadsden
- Community Based Hospice Care Agency
- Rainbow City, AL
- NPI 1528237997
-
dba Amedisys Hospice of Birmingham
- Community Based Hospice Care Agency
- Homewood, AL
- NPI 1326006651
-
dba Baptist Health Brookwood Hospital
- General Acute Care Hospital
- Birmingham, AL
- NPI 1003260480
-
dba Baptist Health Walker Hospital
- General Acute Care Hospital
- Jasper, AL
- NPI 1932553385
-
dba Coosa Valley Medical Center
- Rural Acute Care Hospital
- Sylacauga, AL
- NPI 1972527265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801804703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2018 BROOKWOOD MEDICAL CENTER DR",
"address_2": "PROFESSIONAL OFFICE BUILDING STE 209",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35209",
"telephone_number": "205-877-2193",
"fax_number": "205-877-2196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2018 BROOKWOOD MEDICAL CENTER DR",
"address_2": "PROFESSIONAL OFFICE BUILDING STE 209",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35209",
"telephone_number": "205-877-2193",
"fax_number": "205-877-2196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNOR",
"first_name": "GORDON",
"middle_name": "THACKER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "10818",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF AL INSURANCE",
"identifier": "51086783",
"state": "AL"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.