DR. BRADLEY MACGREGOR THOMAS (NPI# 1093822363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093822363 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY MACGREGOR THOMAS |
| Credential | MD |
| Practice Address |
400 S Sepulveda Blvd Suite 200 Manhattan Beach CA 90266-6814 |
| Practice Telephone | 3105463461 |
| Practice Fax Number | 3105466481 |
| Mailing Telephone | 3105463461 |
| Mailing Fax Number | 3105466481 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2016-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
A72166 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD ZZ NUMBER | ZZZ02606Z | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787985 | Bradley Thomas | Pharmacist | 2509 Mccain Blvd, N Little Rock, AR 72116-7606 | 2019-12-13 |
| 1447749825 | Bradley Thomas | Pharmacist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2018-05-01 |
| 1760763882 | Bradley Thomas | Pharmacist | 1918 W Fabyan Pkwy, Batavia, IL 60510-1215 | 2011-09-01 |
| 1407085004 | Bradley Thomas | Social Worker | 3810 Winchester Rd, Southeast Mental Health Center, Memphis, TN 38118-6045 | 2009-07-06 |
| 1710008875 | Bradley Thomas | Surgery | 1025 Morehead Medical Dr, Ste 300, Charlotte, NC 28204-2963 | 2007-04-03 |
| 1740337542 | Bradley P Thomas | Specialist | 1825 Park Pl, Montgomery, AL 36106-1149 | 2007-01-04 |
| 1104933720 | Bradley Glynn Thomas | Surgery | 4003 Kresge Way Ste 300, Louisville, KY 40207-4652 | 2006-08-23 |
| 1679523617 | Bradley Jonathan Thomas | Anesthesiology | 10121 Pine Ave, Truckee, CA 96161-4835 | 2006-05-11 |
| Street Address |
400 S SEPULVEDA BLVD SUITE 200 |
| City | MANHATTAN BEACH |
| State | CA |
| Zip Code | 90266-6814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841261633 | Christine V Curtis | Pediatrics | 400 S Sepulveda Blvd, Suite 210, Manhattan Beach, CA 90266-6814 | 2006-01-30 |
| 1144851080 | Ross Richard Brunett | Physical Therapist | 400 S Sepulveda Blvd, Manhattan Beach, CA 90266-6814 | 2020-01-29 |
| 1740847425 | Matthew Alan Kretz | Physical Therapist | 400 S Sepulveda Blvd, Manhattan Beach, CA 90266-6814 | 2019-05-28 |
| 1962910091 | Anthony Ramos | Chiropractor | 400 S Sepulveda Blvd, Manhattan Beach, CA 90266-6814 | 2018-01-10 |
| 1770022196 | Walaa M Salem | Pharmacist | 400 S Sepulveda Blvd, Manhattan Beach, CA 90266-6814 | 2017-02-17 |
| 1891141966 | Jasmine Yukiko Chau | Chiropractor | 400 S Sepulveda Blvd, 247, Manhattan Beach, CA 90266-6814 | 2016-05-09 |
| 1710374251 | Kuo-wei David Tu | Specialist/Technologist, Other | 400 S Sepulveda Blvd, Suite 200, Manhattan Beach, CA 90266-6814 | 2015-04-22 |
| 1023401585 | Los Angeles Shoulder Inc | Orthopaedic Surgery | 400 S Sepulveda Blvd, Ste 200, Manhattan Beach, CA 90266-6814 | 2015-03-09 |
| 1669871281 | Taylor Griffith | Chiropractor | 400 S Sepulveda Blvd, Suite 247, Manhattan Beach, CA 90266-6814 | 2014-08-19 |
| 1780971168 | Arlene Hsu | Physical Therapist | 400 S Sepulveda Blvd, Suite 105, Manhattan Beach, CA 90266-6814 | 2011-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770099756 | Tene Anderson | Massage Therapist | 500 S. Sepulveda Blvd, 207, Manhattan Beach, CA 90266 | 2017-12-28 |
| 1689035552 | Sean Limahelu | Physical Therapist | 400 S. Sepulveda Blvd. Suite 105, Manhattan Beach, CA 90266 | 2016-03-18 |
| 1609248053 | Nora Lillian Fong | General Practice | 425 15th St., Manhattan Beach, CA 90266 | 2015-10-26 |
| 1598182461 | Behavior and Education Inc | Day Training, Developmentally Disabled Services | 1888 Rosecrans Ave, Suite 2200, Manhattan Beach, CA 90266 | 2014-03-27 |
| 1538502406 | Cynara Conroy Allison | Marriage & Family Therapist | 1716 Manhattan Beach Blvd. #c, Manhattan Beach, CA 90266 | 2013-04-10 |
| 1598001919 | Cassandra Giornali Sorrell | Marriage & Family Therapist | 1050 Duncan Avenue, Suite K, Manhattan Beach, CA 90266 | 2012-12-13 |
| 1669716056 | Maria Lynn Newson | Marriage & Family Therapist | 2007 Cedar Avenue, Manhattan Beach, CA 90266 | 2012-11-26 |
| 1407113376 | Mona-lisa Lind | Marriage & Family Therapist | 901 North Pacific Coast Hwy., Ste. 200a-204a, Redondo Beach, CA 90266 | 2012-04-17 |
| 1790063964 | Chad Chin Seng Heng | Anesthesiology | 400 S Sepulveda Blvd Ste 200, Manhattan Beach, CA 90266 | 2011-07-21 |
| 1417262908 | Jennifer V. Izzarelli | Nurse Practitioner | 111 North Sepulveda Boulevard, Suite 210, Manhattan Beach, CA 90266 | 2010-08-10 |
| Find all providers in zip 90266 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336669456 | Beach Cities Orthopedics Surgery Center, LLC | Orthopaedic Surgery | 400 S Sepulveda Blvd Ste 110, Manhattan Beach, CA 90266-6814 | 2017-06-20 |
| 1750539672 | Beach Cities Orthopedics & Sports Medicine | Orthopaedic Surgery | 400 S Sepulveda Blvd, Suite 200, Manhattan Beach, CA 90266-6814 | 2008-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790341618 | Casey S Revenko | Orthopaedic Surgery | 2999 Regent St Ste 225, Berkeley, CA 94705-2117 | 2019-05-15 |
| 1225504301 | Amgad Alfred | Orthopaedic Surgery | 18145 Us Highway 18 Ste D, Apple Valley, CA 92307-2210 | 2018-10-16 |
| 1386136430 | Valley River Orthopedics and Sports Medicine | Orthopaedic Surgery | Valley River Orthopedics & Sports Medicine Inc, 3329 G St Ste A, Merced, CA 95340 | 2018-06-05 |
| 1073026696 | Optimal Physician Surgical Group | Orthopaedic Surgery | 25067 Jim Bridger Rd, Hidden Hills, CA 91302-1128 | 2017-11-06 |
| 1750818860 | Health Link Medical Group Inc | Orthopaedic Surgery | 899 Northgate Dr Ste 400, San Rafael, CA 94903-3667 | 2017-05-19 |
| 1962861476 | Mehta Orthopedics | Orthopaedic Surgery | 32145 Alvarado Niles Rd Ste 209, Union City, CA 94587-2930 | 2016-02-12 |
| 1649646282 | Bay Area Surgical Specialists, Inc. A Medical Corporation | Orthopaedic Surgery | 5924 Stoneridge Dr Ste 202, Pleasanton, CA 94588-5400 | 2015-08-18 |
| 1114346111 | Sean Robinson | Orthopaedic Surgery | 7551 Timberlake Way Ste 200, Sacramento, CA 95823-5422 | 2014-04-08 |
| 1851717938 | William R Campbell Do Prof Corp | Orthopaedic Surgery | 1 Daniel Burnham Ct Ste 365c, San Francisco, CA 94109-5490 | 2014-03-12 |
| 1487079810 | Kazimierz Walter Komperda | Orthopaedic Surgery | 800 S Raymond Ave Fl 2, Pasadena, CA 91105-3229 | 2014-02-21 |
| Find all providers with the same taxonomy | ||||
| City | MANHATTAN BEACH |
| Zip Code | 90266 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.