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NPI Code Detail

MEDICARE: DR. THOMAS CARL PENDLETON M.D.

MEDICARE:  DR. THOMAS CARL PENDLETON  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
1207R00000XInternal Medicine Physician13310AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
151080542OTHERALBLUE CROSS/BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265543482
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS CARL PENDLETON M.D.
Provider Business Mailing Address
First Line : 985 9TH AVE SW
Second Line : SUITE 406
City : BESSEMER
State : AL
Zip : 35022-4500
Country : US
Telephone Number : 205-481-7470
Fax Number : 205-481-7469
Provider Business Practice Location Address
First Line : 985 9TH AVE SW
Second Line : SUITE 406
City : BESSEMER
State : AL
Zip : 35022-4500
Country : US
Telephone Number : 205-481-7470
Fax Number : 205-481-7469
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 07/08/2007

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Directions to “ DR. THOMAS CARL PENDLETON M.D.” Practice Location

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