CHARLES GARY TOMBERLIN MD NPI 1679539902

NPI Information

NPI: 1679539902
Provider Name: CHARLES GARY TOMBERLIN, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
848 S 3 NOTCH ST
ANDALUSIA, AL
ZIP 36420
Phone: (334) 222-5673
Get Directions

Charles Gary Tomberlin, MD is a diagnostic radiology radiology in Andalusia, AL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Charles Gary Tomberlin, MD NPI is 1679539902. 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:

848 S 3 NOTCH ST
ANDALUSIA, AL
ZIP 36420-320
Phone: (334) 222-5673
Fax: (334) 222-8754

The enumeration date for this NPI number is 4/25/2006 and was last updated on 5/21/2008.

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	2085N0904X	Radiology	Nuclear Radiology	3233	ALABAMA	No
2	2085U0001X	Radiology	Diagnostic Ultrasound	3233	ALABAMA	No
3	2085R0202X	Radiology	Diagnostic Radiology	3233	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
1	000006385	MEDICAID	ALABAMA
2	CM1269	MEDICARE PIN	ALABAMA
3	0000006385	MEDICARE NSC	ALABAMA
4	C76314	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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