Bradley Glynn Thomas in Louisville - Vascular Surgery

Bradley Glynn Thomas - NPI 1104933720

Bradley Glynn Thomas is a Vascular Surgery in Louisville, Kentucky. Bradley Glynn Thomas practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Bradley Glynn Thomas is 1104933720. The last update date is 2017-02-07.

Bradley Glynn Thomas's current location address is 4003 Kresge Way Ste 300, Louisville, Kentucky. You can contact this provider via phone number 5028975139 and fax number 5028966218. The mailing address for Bradley Glynn Thomas is 4003 Kresge Way Ste 300, Louisville, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Bradley Glynn Thomas
Address 4003 Kresge Way Ste 300, Louisville, Kentucky
Phone Number 5028975139
Fax Number 5028966218
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1104933720
Provider Enumeration Date 2006-08-23
Last Updated Date 2017-02-07

Provider Mailing Address Detail

Address 4003 Kresge Way Ste 300
City Louisville
State Kentucky (KY)
Post Code 402074652
Phone Number 5028975139
Fax Number 5028966218

Provider's Primary Taxonomy Detail

Speciality Vascular Surgery
Taxonomy 2086S0129X
Licence No 42724
Definition:
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
42724 KY STATE LICENSE
01062396A IN STATE LICENSE

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FAQs about Bradley Glynn Thomas

What is the unique identifier code issued to Bradley Glynn Thomas by the Centers for Medicare & Medicaid Services?

The Bradley Glynn Thomas has been assigned the NPI (National Provider Identifier) 1104933720. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Bradley Glynn Thomas?

The Bradley Glynn Thomas is situated at 4003 Kresge Way Ste 300, in the city of Louisville, state of KY, with the zip code 402074652.

What is Bradley Glynn Thomas's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Bradley Glynn Thomas is Vascular Surgery, and the taxonomy code that classifies this field of practice is 2086S0129X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1104933720 to Bradley Glynn Thomas?

The Centers for Medicare & Medicaid Services originally issued the 1104933720 to Bradley Glynn Thomas on 2006-08-23.

As of what date was the information regarding Bradley Glynn Thomas, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Bradley Glynn Thomas, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-02-07.

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