Provider Demographics
NPI:1639132277
Name:THOMPSON, LINDA B (MD)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:B
Last Name:THOMPSON
Suffix:
Gender:F
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:UAB HOSPITAL
Mailing Address - Street 2:619 SOUTH 19TH ST OHB 251
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35249-0001
Mailing Address - Country:US
Mailing Address - Phone:205-975-9358
Mailing Address - Fax:205-975-4662
Practice Address - Street 1:UAB HOSPITAL
Practice Address - Street 2:619 SOUTH 19TH ST OHB 251
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35249-0001
Practice Address - Country:US
Practice Address - Phone:205-975-9358
Practice Address - Fax:205-975-4662
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2015-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00014714207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000030257Medicaid
AL051030257OtherBLUE CROSS/BLUE SHIELD
ALE30475Medicare UPIN