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1083619159

NPI Code Detail

MEDICARE: THOMAS G LOFLIN MD

MEDICARE: THOMAS G LOFLIN 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	2085R0202X	Diagnostic Radiology Physician	12238	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	051512451	OTHER	AL	BLUE CROSS
2	051512693	OTHER	AL	BLUE CROSS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	051539880	OTHER	AL	BLUE CROSS
6	4006195	OTHER	AL	AETNA
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	051502750	OTHER	AL	BLUE CROSS
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	051087608	OTHER	AL	BLUE CROSS
12	051512457	OTHER	AL	BLUE CROSS
13	515-92028	OTHER	AL	BLUE CROSS
14	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
15	051016097	OTHER	AL	BLUE CROSS
16	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
17	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
18	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
19	051510980	OTHER	AL	BLUE CROSS

General Provider Information

NPI Number	:	1083619159
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS G LOFLIN MD

Provider Business Mailing Address
First Line	:	2000A SOUTHBRIDGE PKWY
Second Line	:	STE 300
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-7718
Country	:	US
Telephone Number	:	205-871-4274
Fax Number	:	205-871-4301

Provider Business Practice Location Address
First Line	:	50 MEDICAL PARK DR E
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35235-3401
Country	:	US
Telephone Number	:	205-838-3435
Fax Number	:

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

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	08/19/2015

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Directions to “ THOMAS G LOFLIN MD” Practice Location

Language	Start Address	Practice Location

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