MEDICARE: MS. DEBORAH THIGPEN ROMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	12073	AL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	080021652	OTHER	AL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	83403	OTHER	AL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1447227046
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DEBORAH THIGPEN ROMAN MD

Provider Business Mailing Address
First Line	:	PO BOX 830810
Second Line	:	MSC 10000020
City	:	BIRMINGHAM
State	:	AL
Zip	:	35283-0810
Country	:	US
Telephone Number	:	205-403-8902
Fax Number	:	205-421-2121

Provider Business Practice Location Address
First Line	:	9772 PARKWAY E
Second Line	:	AMERICAN FAMILY CARE INC
City	:	BIRMINGHAM
State	:	AL
Zip	:	35215
Country	:	US
Telephone Number	:	205-833-6888
Fax Number	:	205-836-8399

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2006
Last Update Date	:	09/20/2012

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