Provider Demographics
NPI:1245342013
Name:SOWDER, JOSEPH THOMAS (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:THOMAS
Last Name:SOWDER
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 1:2016 STONEGATE TRAIL
Mailing Address - Street 2:SUITE 112
Mailing Address - City:VESTAVIA HILLS
Mailing Address - State:AL
Mailing Address - Zip Code:35242-2260
Mailing Address - Country:US
Mailing Address - Phone:205-545-9529
Mailing Address - Fax:205-545-9529
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:205-838-3970
Practice Address - Fax:205-838-3160
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0019156207P00000X
FLME112038207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL351890800OtherDEPT OF LABOR
ALC144OtherBCBS
AL529905830Medicaid
AL604336100OtherDEPT OF LABOR
ALC141OtherBCBS
FL019069000Medicaid
AL515-05375OtherBCBS, MCE, PREMIER MEDICA
AL529910000Medicaid
ALCH5239OtherRR MEDICARE
AL051505375Medicaid
AL529905830Medicaid
AL051505375Medicaid
AL529910000Medicaid
ALI756Medicare PIN