Provider Demographics
NPI:1275500340
Name:THOMAS, MICHAEL SHERMAN (MD)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:SHERMAN
Last Name:THOMAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:MICHAEL
Other - Middle Name:S
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2147 RIVERCHASE OFFICE RD
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35244-1836
Mailing Address - Country:US
Mailing Address - Phone:205-403-8902
Mailing Address - Fax:205-403-8902
Practice Address - Street 1:5892 TRUSSVILLE CROSSING PARKWAY
Practice Address - Street 2:AMERICAN FAMILY CARE INC
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235
Practice Address - Country:US
Practice Address - Phone:205-655-4002
Practice Address - Fax:205-661-0923
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL10984207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51509652OtherBLUE CROSS BLUE SHIELD
AL51500855Medicare ID - Type Unspecified
AL51509652OtherBLUE CROSS BLUE SHIELD