Individual provider Active NPI

Thomas W Ozbirn Jr., DO

  • Nephrology Physician
  • Homewood, AL
National Provider Identifier
1811955156
Registry record updated Oct 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
D083 Issued in AL
Practice address
35 W Lakeshore Dr
Homewood, AL 35209-7253
Phone
(205) 226-5900
Fax
(205) 226-5937
NPI assigned
May 3, 2006
Last updated
Oct 31, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X D083 AL Primary

Addresses

Primary practice location

35 W Lakeshore Dr
Homewood, AL 35209-7253

Mailing address

35 W Lakeshore Dr
Homewood, AL 35209-7253
Phone (205) 226-5900

Other identifiers 1

IdentifierTypeStateIssuer
000028106MedicaidAL

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
I20050606001145 AL Practitioner - NephrologyPractitioner - Internal Medicine 5698718120 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D083ALMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cahaba Medical Care Foundation CurrentSince Apr 29, 2019 Accepting new patients
Cahaba Medical Care Foundation CurrentSince Apr 29, 2019 Accepting new patients
Cahaba Medical Care Foundation PastSince Apr 29, 2019 Accepting new patients

Locations

1308 Tuscaloosa Ave SW
Birmingham, AL 35211
Phone (205) 679-6325

195 Hospital Dr
Centreville, AL 35042
Phone (205) 225-7455

294 Pierson Ave
Centreville, AL 35042

294 Pierson Ave
Centreville, AL 35042

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11347/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1811955156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 W LAKESHORE DR",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352097253",
            "telephone_number": "205-226-5900",
            "fax_number": "205-226-5937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 W LAKESHORE DR",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352097253",
            "telephone_number": "205-226-5900",
            "fax_number": "205-226-5937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZBIRN",
        "first_name": "THOMAS",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AL",
            "license": "D083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000028106",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, AL

Sources for this page

Verify at the official NPI Registry.