Individual provider Active NPI

Troy Houston Middleton III, M.D.

  • Neurological Surgery Physician
  • Mobile, AL
National Provider Identifier
1831190024
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
13777 Issued in AL
Practice address
3280 Dauphin St
Building a
Mobile, AL 36606-4060
Phone
(251) 450-3700
Fax
(251) 662-3819
NPI assigned
Aug 10, 2005
Last updated
Sep 28, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 13777 AL Primary

Addresses

Primary practice location

3280 Dauphin St
Building a
Mobile, AL 36606-4060

Mailing address

3280 Dauphin St
Building a
Mobile, AL 36606-4060
Phone (251) 450-3700

Other identifiers 1

IdentifierTypeStateIssuer
1831190024MedicaidMN

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
I20110113000466 AL Practitioner - Neurosurgery 0840233854 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Louisiana State University School of Medicine in New Orleans, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imc-Neurosurgery LLCGroup PAC ID 7012267768, 6 clinicians

Practice addresses (Care Compare)

3 Mobile Infirmary Cir
Suite 410
Mobile, AL 36607-3512
Phone (251) 435-6850

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Neurologic Institute Current Accepting new patients
Imc-Neurosurgery LLC Neurological Surgery CurrentSince Apr 1, 2023 Accepting new patients
Coastal Neurological Institute P.C. Neurological Surgery CurrentSince Jun 30, 1988 Accepting new patients

Locations

3 Mobile Infirmary Cir
Ste 201A
Mobile, AL 36607
Phone (251) 435-6850

3 Mobile Infirmary Cir
Ste 410
Mobile, AL 36607
Phone (251) 433-3344

3280 Dauphin St
Bldg A
Mobile, AL 36606
Phone (251) 450-3700

3280 Dauphin St
Ste A
Mobile, AL 36606
Phone (251) 450-3700

Dept AT 952614
Atlanta, GA 31192

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285632000000",
    "number": "1831190024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 DAUPHIN ST",
            "address_2": "BUILDING A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366064060",
            "telephone_number": "251-450-3700",
            "fax_number": "251-662-3819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 DAUPHIN ST",
            "address_2": "BUILDING A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366064060",
            "telephone_number": "251-450-3700",
            "fax_number": "251-662-3819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLETON",
        "first_name": "TROY",
        "middle_name": "HOUSTON",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2010-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AL",
            "license": "13777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831190024",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.