MEDICARE: THOMAS MICHAEL PENDER 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	390200000X	Student in an Organized Health Care Education/Training Program
2	2085R0202X	Diagnostic Radiology Physician	2025-03599	NC

General Provider Information

NPI Number	:	1518546936
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS MICHAEL PENDER MD

Provider Business Mailing Address
First Line	:	DEPARTMENT OF RADIOLOGY
Second Line	:	BOX 3808 DUMC
City	:	DURHAM
State	:	NC
Zip	:	27710-0001
Country	:	US
Telephone Number	:	919-684-2711
Fax Number	:

Provider Business Practice Location Address
First Line	:	DEPARTMENT OF RADIOLOGY
Second Line	:	BOX 3808 DUMC
City	:	DURHAM
State	:	NC
Zip	:	27710-0001
Country	:	US
Telephone Number	:	919-684-2711
Fax Number	:

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

Provider Enumeration Date	:	04/04/2021
Last Update Date	:	06/03/2026

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