Thomas, Brad A

Thomas, Brad A is an sole proprietor health care provider with primary practice located at 5 Saint Vincent Cir Ste 502 , Little Rock AR 72205-5412. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Thomas, Brad A can be contacted via phone (501) 558-0200.

Contact Information

Primary practice address
5 Saint Vincent Cir Ste 502 Little Rock AR 72205-5412
Phone: (501) 558-0200
Fax: (501) 558-0201
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X E5212 Arkansas

Profile Details

NPI number 1003018748
LBN Legal business name Thomas, Brad A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 4th, 2007
Last updated Apr 30th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003018748 NPPES
Other 07080011000 QUALCHOICE
MEDICAID 165495001 QUALCHOICE

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