Healthcare Provider Details

I. General information

NPI: 1518546936
Provider Name (Legal Business Name): THOMAS MICHAEL PENDER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2021
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DEPARTMENT OF RADIOLOGY BOX 3808 DUMC
DURHAM NC
27710-0001
US

IV. Provider business mailing address

DEPARTMENT OF RADIOLOGY BOX 3808 DUMC
DURHAM NC
27710-0001
US

V. Phone/Fax

Practice location:
  • Phone: 919-684-2711
  • Fax:
Mailing address:
  • Phone: 919-684-2711
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number2025-03599
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: