DR. BRADLEY GLYNN THOMAS (NPI# 1104933720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104933720 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY GLYNN THOMAS |
| Credential | MD |
| Practice Address |
4003 Kresge Way Ste 300 Louisville KY 40207-4652 |
| Practice Telephone | 5028975139 |
| Practice Fax Number | 5028966218 |
| Mailing Telephone | 5028975139 |
| Mailing Fax Number | 5028966218 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2017-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
42724 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | STATE LICENSE | 42724 | 01 |
| IN | STATE LICENSE | 01062396A | 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 |
| 1093822363 | Bradley Macgregor Thomas | Orthopaedic Surgery | 400 S Sepulveda Blvd, Suite 200, Manhattan Beach, CA 90266-6814 | 2006-08-24 |
| 1679523617 | Bradley Jonathan Thomas | Anesthesiology | 10121 Pine Ave, Truckee, CA 96161-4835 | 2006-05-11 |
| Street Address |
4003 KRESGE WAY STE 300 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40207-4652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730111725 | David Anthony Lipski | Surgery | 4003 Kresge Way Ste 300, Louisville, KY 40207-4652 | 2006-07-07 |
| 1568934180 | Karen Covington | Specialist/Technologist, Other | 4003 Kresge Way Ste 300, Louisville, KY 40207-4652 | 2018-12-20 |
| 1780024612 | Emily Elaine Hickerson | Nurse Practitioner | 4003 Kresge Way Ste 300, Louisville, KY 40207-4652 | 2013-06-25 |
| 1154621746 | Charissa L Hallman | Nurse Practitioner | 4003 Kresge Way Ste 300, Louisville, KY 40207-4652 | 2010-10-28 |
| 1740423896 | Noah T Scherrer | Surgery | 4003 Kresge Way Ste 300, Louisville, KY 40207-4652 | 2009-04-18 |
| 1679596175 | Peter H Wayne IIi | Radiology | 4003 Kresge Way Ste 300, Louisville, KY 40207-4652 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780212688 | Alexia Louise Bodamer | Student in an Organized Health Care Education/Training Program | 142 Chenoweth Lane, Lousiville, KY 40207 | 2020-03-28 |
| 1467918664 | Amy Rock LLC | Counselor | 4010 Dupont Cir Ste 307, Louisville, KY 40207 | 2019-02-13 |
| 1649745191 | Louisville Optometric Center, IIi, Psc | Optometrist | 285 Hubbards Lane, Suite 300, Louisville, KY 40207 | 2018-10-11 |
| 1184137440 | Crimson Dove Counseling Services Inc | Community/Behavioral Health | 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 | 2017-11-09 |
| 1285157586 | Dickerson Family Enterprise, LLC | Non-emergency Medical Transport (VAN) | 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 | 2017-07-19 |
| 1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
| 1932636305 | Devon Turley | Prevention Professional | 1017 Dupont Rd, Suite 1, Louisville, KY 40207 | 2017-05-17 |
| 1285095539 | Emily Schwartz Crouch | Marriage & Family Therapist | 4010 Dupont Circle, Suite 582, Louisville, KY 40207 | 2016-03-15 |
| 1306201280 | A A and Associates Approved Alcohol/drug Program | Counselor | 4006 Dutchmans Lane, Louisville, KY 40207 | 2015-12-21 |
| 1629433693 | Jewish Hospital and St. Mary's Healthcare, Inc. | General Acute Care Hospital | 3290 Dutchmans Lane, Louisville, KY 40207 | 2015-12-17 |
| Find all providers in zip 40207 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457560302 | Ferenc Pantaleone Nagy | Surgery | 3 Audubon Plaza Dr Ste 220, Louisville, KY 40217 | 2007-05-21 |
| 1639251655 | Glenn Earl Lambert II | Surgery | 3991 Dutchmans Ln Ste 103, Suburban Medical Plaza II, Louisville, KY 40207-4732 | 2006-10-19 |
| 1649360413 | Thomas Wright Klamer | Surgery | 3991 Dutchmans Lane, #103, Louisville, KY 40207-1363 | 2006-10-13 |
| 1730111725 | David Anthony Lipski | Surgery | 4003 Kresge Way Ste 300, Louisville, KY 40207-4652 | 2006-07-07 |
| 1003398207 | Siddharth Pahwa | Surgery | 201 Abraham Flexner Way Ste 1200, Louisville, KY 40202-3841 | 2018-09-04 |
| 1669970661 | Community Medical Associates, Inc. | Surgery | 1930 Bishop Ln Ste 1017, Louisville, KY 40218-1933 | 2018-01-25 |
| 1356611909 | University of Louisville Physicians, Inc | Surgery | 401 E Chestnut St Unit 710, Louisville, KY 40202-5707 | 2012-01-12 |
| 1043518749 | Hazaim Alwair | Surgery | 201 Abraham Flexner Way Ste 1200, Louisville, KY 40202 | 2011-03-03 |
| 1841501087 | Barbara Hanna Davis | Surgery | 3 Audubon Plaza Dr Ste 220, Louisville, KY 40217-1319 | 2010-06-22 |
| 1740423896 | Noah T Scherrer | Surgery | 4003 Kresge Way Ste 300, Louisville, KY 40207-4652 | 2009-04-18 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40207 |
Please comment or provide details below to improve the information on DR. BRADLEY GLYNN THOMAS.
| 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.