Active NPI
Thomas Myron Coffman, M.D.
- Nephrology Physician
- Durham, NC
National Provider Identifier
1912094756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 27780
- Practice address
- 508 Fulton Street
VA Medical Center
Durham, NC 27705-0001 - Phone
- (919) 286-6947
- Fax
- (919) 286-6879
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 27780 | NC | Primary |
Addresses
Primary practice location
508 Fulton Street
VA Medical Center
Durham, NC 27705-0001
Mailing address
PO Box 3014
Duke University Medical Center
Durham, NC 27710-0001
Phone (919) 286-6947
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27780 | NC | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193011200000",
"number": "1912094756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3014",
"address_2": "DUKE UNIVERSITY MEDICAL CENTER",
"city": "DURHAM",
"state": "NC",
"postal_code": "277100001",
"telephone_number": "919-286-6947",
"fax_number": "919-286-6879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 FULTON STREET",
"address_2": "VA MEDICAL CENTER",
"city": "DURHAM",
"state": "NC",
"postal_code": "277050001",
"telephone_number": "919-286-6947",
"fax_number": "919-286-6879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COFFMAN",
"first_name": "THOMAS",
"middle_name": "MYRON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2007-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NC",
"license": "27780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.