Provider Demographics
NPI:1083619159
Name:LOFLIN, THOMAS G (MD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:G
Last Name:LOFLIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000A SOUTHBRIDGE PKWY
Mailing Address - Street 2:STE 300
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-7718
Mailing Address - Country:US
Mailing Address - Phone:205-871-4274
Mailing Address - Fax:205-871-4301
Practice Address - Street 1:50 MEDICAL PARK DR E
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-3401
Practice Address - Country:US
Practice Address - Phone:205-838-3435
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL122382085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051512451OtherBLUE CROSS
AL051512693OtherBLUE CROSS
AL051502750Medicaid
AL009938799Medicaid
AL051539880OtherBLUE CROSS
AL4006195OtherAETNA
AL009938794Medicaid
AL009938796Medicaid
AL051502750OtherBLUE CROSS
AL000016097Medicaid
AL051087608OtherBLUE CROSS
AL051512457OtherBLUE CROSS
AL515-92028OtherBLUE CROSS
AL009938797Medicaid
AL051016097OtherBLUE CROSS
AL000087608Medicaid
AL009938798Medicaid
AL009985765Medicaid
AL051510980OtherBLUE CROSS
AL009938799Medicaid
AL051016097OtherBLUE CROSS
AL051512451OtherBLUE CROSS
AL009938796Medicaid
AL009985765Medicaid
AL051502750Medicare PIN