Provider Demographics
NPI:1205836574
Name:DEMPSEY, THOMAS R (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:R
Last Name:DEMPSEY
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 1:4638 BIT AND SPUR RD
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-2646
Mailing Address - Country:US
Mailing Address - Phone:251-378-0200
Mailing Address - Fax:251-378-0906
Practice Address - Street 1:4638 BIT AND SPUR RD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-2646
Practice Address - Country:US
Practice Address - Phone:251-378-0200
Practice Address - Fax:251-378-0906
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-28
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL10008207X00000X, 207XP3100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
200024216OtherRAILROAD MEDICARE
AL000026735Medicaid
MS00098072Medicaid
MS00098072Medicaid
200024216OtherRAILROAD MEDICARE