TOM BROOKS VAUGHAN MD NPI 1518026319

NPI Information

NPI: 1518026319
Provider Name: TOM BROOKS VAUGHAN, MD
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

PECOS Registration: Yes

Address:
2204 LAKESHORE DR
SUITE 410
BIRMINGHAM, AL
ZIP 35209
Phone: (205) 870-5678
Get Directions

Tom Brooks Vaughan, MD is a child and adolescent psychiatry psychiatry neurology in Birmingham, AL. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. Tom Brooks Vaughan, MD NPI is 1518026319. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2204 LAKESHORE DR
SUITE 410
BIRMINGHAM, AL
ZIP 35209-729
Phone: (205) 870-5678
Fax: (205) 879-0071

The NPI 1518026319 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 12/7/2006 and was last updated on 5/9/2013.

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	2084P0800X	Psychiatry & Neurology	Psychiatry	MD.6420	ALABAMA	No
2	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	6420	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	510-24822	OTHER	ALABAMA	BCBS
2	000082996	MEDICAID	ALABAMA
3	000024822	MEDICAID	ALABAMA
4	515-02331	OTHER	ALABAMA	FEDERAL BC
5	1518026319	OTHER	ALABAMA	TRICARE SOUTH
6	510-82996	OTHER	ALABAMA	BCBS
7	C75923	MEDICARE UPIN	ALABAMA

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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