DR. THOMAS E MOODY M.D. NPI 1265405039

NPI Information

NPI: 1265405039
Provider Name: DR. THOMAS E MOODY, M.D.
Classification: Family Medicine - 207QA0401X
Entity Type: Individual

Specialization: Addiction Medicine

Organization: KOLBE CLINIC LLC

PECOS Registration: Yes

Address:
3485 INDEPENDENCE DR
HOMEWOOD, AL
ZIP 35209
Phone: (205) 930-0920
Get Directions

DR. Thomas E Moody, M.D. is an addiction medicine family medicine in Homewood, AL with 51 years of experience. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. DR. Thomas E Moody, M.D. NPI is 1265405039. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year:1973

The provider's business location address is:

3485 INDEPENDENCE DR
HOMEWOOD, AL
ZIP 35209-603
Phone: (205) 930-0920
Fax: (205) 445-0115

The NPI 1265405039 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/10/2006 and was last updated on 2/3/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208800000X	Urology		00007582	ALABAMA	No
2	207QA0401X	Family Medicine	Addiction Medicine	7582	ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0366100001	OTHER	ALABAMA	CIGNA GOVERNMENT SERVICES PTAN
2	1910076	OTHER	ALABAMA	UNITED HEALTHCARE
3	C76475	OTHER	ALABAMA	HEALTH SPRINGS
4	000037357	OTHER	ALABAMA	MEDICARE PTAN
5	009940577	MEDICAID	ALABAMA
6	000025362	OTHER	ALABAMA	MEDICARE PTAN
7	1910032	OTHER	ALABAMA	UNITED HEALTHCARE
8	2652937001	OTHER	ALABAMA	CIGNA
9	C76475	OTHER	ALABAMA	VIVA
10	4288415	OTHER	ALABAMA	AETNA
11	0366100001	OTHER	ALABAMA	MC NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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