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NPI Code Detail

MEDICARE: DR. TIMOTHY LEWIS CARPENTER D.O.

MEDICARE: DR. TIMOTHY LEWIS CARPENTER D.O.
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
12084P0800XPsychiatry PhysicianDO.1502AL
22084P0800XPsychiatry Physician20A7377CA

General Provider Information

NPI Number : 1215008297
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TIMOTHY LEWIS CARPENTER D.O.
Provider Business Mailing Address
First Line : 2501 INTERNATIONAL PARK DR
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35243-4253
Country : US
Telephone Number : 205-813-7400
Fax Number : 205-813-7405
Provider Business Practice Location Address
First Line : 2501 INTERNATIONAL PARK DR
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35243-4253
Country : US
Telephone Number : 205-813-7400
Fax Number : 205-813-7405
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2006
Last Update Date : 01/12/2026

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