Samuel Douglas, M.D.
Samuel Douglas, M.D. is a Surgical Oncology Physician in Mountain Brk, AL, registered under NPI 1811308257. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 500 OFFICE PARK DR STE 400, Mountain Brk, AL 35223. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 34727 | AL | Surgical Oncology Physician primary |
| 34727 | AL | Surgery Physician |
This provider holds licence 34727 issued in AL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Surgical Oncology
- PAC ID
- 3971835083
Enrolled in Medicare 2 times, across 2 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Ohio | I20230811002917 | Practitioner - Surgical Oncology |
| Alabama | I20240520002015 | Practitioner - Hematology/oncology |
Medicare enrolment is recorded as approved under the provider type Practitioner - Surgical Oncology. There are 2 separate enrolment records across 2 states (OH, AL). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Surgical Oncology covers
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. NUCC Health Care Provider Taxonomy, code 2086X0206X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2086X0206X | Surgical Oncology Physician Surgical Oncology | 34727 | AL | primary |
| 208600000X | Surgery Physician | 34727 | AL |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1811308257 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | May 19, 2014 |
| Last updated | Oct 30, 2024 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | M.D. |
| Practice address |
500 OFFICE PARK DR STE 400 Mountain Brk, AL 35223 (205) 803-4384 Fax (757) 953-0845 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 8 | 1 | 1 | 3 | 0 | 8 | 2 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 8 | 2 | 1 | 6 | 0 | 7 | 2 | 1 |
Sum = 53 · next multiple of 10 = 60 · check digit = 7 · actual last digit = 7
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.