Active NPI
Thomas J. Payne III, M.D.
- Diagnostic Radiology Physician
- Birmingham, AL
National Provider Identifier
1972650406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 3305
- Practice address
- 3125 Independence Dr
Suite 105
Birmingham, AL 35209-4159 - Phone
- (205) 802-6100
- Fax
- (205) 870-1207
- NPI assigned
- Jan 5, 2007
- Last updated
- Jul 9, 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 3305 | AL | Primary |
Addresses
Primary practice location
3125 Independence Dr
Suite 105
Birmingham, AL 35209-4159
Mailing address
3125 Independence Dr
Suite 105
Birmingham, AL 35209-4159
Phone (205) 802-6100
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)
- 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 |
|---|---|---|---|
| 3305 | AL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephrology Associates, PC | Past | Accepting new patients | |
| BHC - Walker Imaging | Past | Accepting new patients |
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.
-
- Specialist
- Jasper, AL
- NPI 1770547739
-
- Nephrology Physician
- Vestavia Hills, AL
- NPI 1023030152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1972650406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3125 INDEPENDENCE DR",
"address_2": "SUITE 105",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352094159",
"telephone_number": "205-802-6100",
"fax_number": "205-870-1207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3125 INDEPENDENCE DR",
"address_2": "SUITE 105",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352094159",
"telephone_number": "205-802-6100",
"fax_number": "205-870-1207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "THOMAS",
"middle_name": "J.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AL",
"license": "3305",
"primary": true
}
],
"identifiers": [],
"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 9, 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.