Thomas Kevin Brattain in Peoria - Podiatrist
Thomas Kevin Brattain - NPI 1285613463
Thomas Kevin Brattain is a Podiatrist in Peoria, Illinois. Thomas Kevin Brattain practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Thomas Kevin Brattain is 1285613463. The last update date is 2008-04-03.
Thomas Kevin Brattain's current location address is 3322 W Willow Knolls Dr, Peoria, Illinois. You can contact this provider via phone number 3096915800 and fax number 3096911336. The mailing address for Thomas Kevin Brattain is 3322 W Willow Knolls Dr, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Kevin Brattain |
|---|---|
| Address | 3322 W Willow Knolls Dr, Peoria, Illinois |
| Phone Number | 3096915800 |
| Fax Number | 3096911336 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1285613463 |
|---|---|
| Provider Enumeration Date | 2006-01-16 |
| Last Updated Date | 2008-04-03 |
Provider Mailing Address Detail
| Address | 3322 W Willow Knolls Dr |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616148148 |
| Phone Number | 3096915800 |
| Fax Number | 3096911336 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 16003267 |
|
Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7215174 | IL | BLUE CROSS BLUE SHIELD | |
| 16003267 | IL | -- | |
| 928270 | IL | MEDICARE PROVIDER NUMBER | |
| 480009789 | IL | MEDICARE RAILROAD |
Post Comment/ Review Below
What is the unique identifier code issued to Thomas Kevin Brattain by the Centers for Medicare & Medicaid Services?
The Thomas Kevin Brattain has been assigned the NPI (National Provider Identifier) 1285613463. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Thomas Kevin Brattain?
The Thomas Kevin Brattain is physically situated at 3322 W Willow Knolls Dr, in the city of Peoria, state of IL, with the postal code 616148148.
What is Thomas Kevin Brattain's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Thomas Kevin Brattain is Podiatrist, and the corresponding taxonomy classification code for this specialized field is 213E00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1285613463 to Thomas Kevin Brattain?
The Thomas Kevin Brattain received its 1285613463 assignment from the Centers for Medicare & Medicaid Services on 2006-01-16.
When was the information regarding Thomas Kevin Brattain most recently updated?
The details pertaining to the Thomas Kevin Brattain, including its address, specialty, and other relevant information, were last refreshed on 2008-04-03.
NPI Number: 1134122146
Address: P. O. Box 31911, Tampa, FL
NPI Number: 1629071758
Address: 1600 Prairie Center Pkwy, Brighton, CO