Thompson, Brady

Thompson, Brady is an individual health care provider with primary practice located at 800 E Dawson St , Tyler TX 75701-2036. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Thompson, Brady can be contacted via phone (903) 531-4500.

Contact Information

Primary practice address
800 E Dawson St Tyler TX 75701-2036
Phone: (903) 531-4500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 736869 Texas
Nursing Service Providers / Registered Nurse 163W00000X 121651 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 736869 Texas

Profile Details

NPI number 1649570615
LBN Legal business name Thompson, Brady
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2010
Last updated Mar 5th, 2015 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1649570615 NPPES
Texas Other 75-0818167-015 TRICARE
Texas MEDICAID 220429902 TRICARE
Texas Other 8174UJ TRICARE
Texas Other P01408239 TRICARE
Texas MEDICAID 220429901 TRICARE

Popular Providers