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NPI Code Detail

MEDICARE: JASON BYRON THOMPSON M.D.

MEDICARE: JASON BYRON THOMPSON M.D.
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
1174400000XSpecialist25087AL
2207RC0000XCardiovascular Disease Physician25087AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11740236694OTHERALUHC
251522240OTHERALBCBS
3P00637078OTHERALRRMC
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
55780115OTHERALCIGNA

General Provider Information

NPI Number : 1740236694
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON BYRON THOMPSON M.D.
Provider Business Mailing Address
First Line : 100 PILOT MEDICAL DR STE 300
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35235-3412
Country : US
Telephone Number : 205-856-2284
Fax Number : 205-815-4777
Provider Business Practice Location Address
First Line : 100 PILOT MEDICAL DR STE 300
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35235-3412
Country : US
Telephone Number : 205-815-4810
Fax Number : 205-815-4864
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2006
Last Update Date : 01/06/2016

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Directions to “ JASON BYRON THOMPSON M.D.” Practice Location

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