Individual provider Active NPI

Durwood M. Hodges Jr., MD

  • Family Medicine Physician
  • Bryant, AL
National Provider Identifier
1821027137
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.9279 Issued in AL
Practice address
29810 Al Highway 71
Bryant, AL 35958-5240
Phone
(256) 597-4114
Fax
(256) 597-4115
NPI assigned
Jun 30, 2006
Last updated
Oct 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD.9279 AL Primary

Addresses

Primary practice location

29810 Al Highway 71
Bryant, AL 35958-5240

Mailing address

309 Taylor St
Scottsboro, AL 35768-2421
Phone (256) 259-5313

Other practice location 1

3840 Gault Ave N
Fort Payne, AL 35967-5211
Phone (256) 844-4975

Other practice location 2

34617 Al Highway 75
Fyffe, AL 35971-3488
Phone (256) 623-5242

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
I20100810000200 AL Practitioner - Family Practice 6305970591 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9279ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Alabama Health Services, Inc. CurrentSince Jan 19, 2023 Accepting new patients
Northeast Alabama Health Services, Inc CurrentSince Jan 19, 2023 Accepting new patients

Locations

29810 AL Highway 71
Bryant, AL 35958
Phone (256) 597-4114

3840 Gault Ave N
Fort Payne, AL 35967
Phone (256) 844-4975

34617 AL Highway 75
Fyffe, AL 35971
Phone (256) 623-5242

309 Taylor St
Scottsboro, AL 35768
Phone (256) 259-5313

60 Main St N
Section, AL 35771
Phone (256) 228-3471

Networks

  • bcbs alabama network 01H0
  • bcbs alabama network 01C0
  • bcbs alabama network 01E0
  • bcbs alabama network 01A0
  • bcbs alabama network 01B0
  • bcbs alabama network 01G0

Organizations & group practices 2

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1821027137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 TAYLOR ST",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682421",
            "telephone_number": "256-259-5313",
            "fax_number": "256-259-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29810 AL HIGHWAY 71",
            "city": "BRYANT",
            "state": "AL",
            "postal_code": "359585240",
            "telephone_number": "256-597-4114",
            "fax_number": "256-597-4115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3840 Gault Ave N",
            "address_purpose": "LOCATION",
            "city": "Fort Payne",
            "state": "AL",
            "postal_code": "359675211",
            "country_code": "US",
            "telephone_number": "256-844-4975",
            "fax_number": "256-844-4978",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34617 Al Highway 75",
            "address_purpose": "LOCATION",
            "city": "Fyffe",
            "state": "AL",
            "postal_code": "359713488",
            "country_code": "US",
            "telephone_number": "256-623-5242",
            "fax_number": "256-623-5243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HODGES",
        "first_name": "DURWOOD",
        "middle_name": "M.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.9279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryant, AL

Sources for this page

Verify at the official NPI Registry.