Provider Demographics
NPI:1447227046
Name:ROMAN, DEBORAH THIGPEN (MD)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:THIGPEN
Last Name:ROMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:DEBORAH
Other - Middle Name:T
Other - Last Name:PETERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 830810
Mailing Address - Street 2:MSC 10000020
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35283-0810
Mailing Address - Country:US
Mailing Address - Phone:205-403-8902
Mailing Address - Fax:205-421-2121
Practice Address - Street 1:9772 PARKWAY E
Practice Address - Street 2:AMERICAN FAMILY CARE INC
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35215
Practice Address - Country:US
Practice Address - Phone:205-833-6888
Practice Address - Fax:205-836-8399
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL12073207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL080021652OtherRAILROAD MEDICARE
AL009949035Medicaid
AL83403OtherBLUE CROSS BLUE SHIELD
AL080021652OtherRAILROAD MEDICARE
C72694Medicare UPIN