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NPI Code Detail

MEDICARE: MR. THOMAS WILLIAM DODD MD

MEDICARE: MR. THOMAS WILLIAM DODD 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
1207Q00000XFamily Medicine Physician16606AL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2000096716OTHERALMEDICARE PROVIDER# AFC
4080178934OTHERALRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
151504985OTHERALBLUE CROSS BLUE SHIELD
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679542153
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. THOMAS WILLIAM DODD MD
Provider Business Mailing Address
First Line : 2147 RIVERCHASE OFFICE RD
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35244-1836
Country : US
Telephone Number : 205-403-8902
Fax Number : 205-982-0278
Provider Business Practice Location Address
First Line : 2757 GREENSPRINGS HWY
Second Line : AMERICAN FAMILY CARE INC
City : BIRMINGHAM
State : AL
Zip : 35209-4903
Country : US
Telephone Number : 205-290-0088
Fax Number : 205-945-1157
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2006
Last Update Date : 09/20/2012

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