THOMAS BRICE ADDISON (NPI# 1871594754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871594754 |
| Entity Type | Individual |
| Full Name | THOMAS BRICE ADDISON |
| Credential | MD |
| Practice Address |
1401 25th St S Great Falls MT 59405-5183 |
| Practice Telephone | 4067318888 |
| Practice Fax Number | 4067318839 |
| Mailing Telephone | 4067318888 |
| Mailing Fax Number | 4067318839 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2017-12-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 5064 | MT | Allopathic & Osteopathic Physicians |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
5064 | MT | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1401 25th St S, Great Falls, MT 594055183 | 4067318885 | 4067318839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154494599 | Thomas Earl Addison | Internal Medicine | 2238 Geary Blvd, San Francisco, CA 94115-3416 | 2006-11-15 |
| 1528149200 | Thomas Edward Addison | Pharmacist | 4212 N. 16th St., Phoenix, AZ 85016 | 2006-10-18 |
| Street Address |
1401 25TH ST S |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59405-5183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184625055 | Mary E Gray | Nurse Practitioner | 1401 25th St S, Great Falls, MT 59405-5183 | 2005-08-02 |
| 1104459718 | Katie Grace Smyth | Physician Assistant | 1401 25th St S, Great Falls, MT 59405-5183 | 2020-02-21 |
| 1962973776 | Blanche Stutz | Nurse Practitioner | 1401 25th St S, Great Falls, MT 59405-5183 | 2018-12-06 |
| 1457828337 | Zale Kaupish | Physician Assistant | 1401 25th St S, Great Falls, MT 59405-5183 | 2018-10-29 |
| 1245722735 | Jordan Elizabeth Hronek | Physician Assistant | 1401 25th St S, Great Falls, MT 59405-5183 | 2018-05-31 |
| 1164932000 | Alyissa H Canady | Pharmacist | 1401 25th St S, Great Falls, MT 59405-5183 | 2017-10-05 |
| 1417466327 | Margaret Janelle Davenport | Physician Assistant | 1401 25th St S, Great Falls, MT 59405-5183 | 2017-09-22 |
| 1588183321 | Andrew Koopman | Physician Assistant | 1401 25th St S, Great Falls, MT 59405-5183 | 2017-09-13 |
| 1306364724 | Noelle Marie-lynn Steiner | Physician Assistant | 1401 25th St S, Great Falls, MT 59405-5183 | 2017-09-06 |
| 1982121760 | Melanie Marie Brown | Nurse Practitioner | 1401 25th St S, Great Falls, MT 59405-5183 | 2017-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902446180 | Reilly Kunz | Physical Therapist | 2621 15th Ave South, Great Falls, MT 59405 | 2020-01-15 |
| 1336617224 | Brandi Noel Sauer | Behavior Technician | 1601 2nd Ave North Suite 518, Great Falls, MT 59405 | 2018-11-08 |
| 1982103446 | Traci Raines Aprn Pllc | Nurse Practitioner | 120 Marillyn Dr, Great Falls, MT 59405 | 2018-02-09 |
| 1003332818 | Great Falls Health Supplies | Durable Medical Equipment & Medical Supplies | 1720 10th Ave., South, Suite 4-151, Great Falls, MT 59405 | 2017-08-15 |
| 1518489426 | Jessica Lynn Keller | Specialist/Technologist | 720 46th Street South, Great Falls, MT 59405 | 2017-07-12 |
| 1235678475 | Vanessa Claudia Hernandez | Occupational Therapist | 2621 15 Ave So, Great Falls, MT 59405 | 2017-02-21 |
| 1871039339 | Morgan Laux Olsen | Specialist/Technologist | 1301 20th St S, Great Falls, MT 59405 | 2017-01-09 |
| 1558807198 | Greg Robert Lipton | Occupational Therapist | 2621 15th Ave So, Great Falls, MT 59405 | 2017-01-06 |
| 1386180925 | Jessica Lee Krahn | Physical Therapist | 2621 15th Ave So., Great Falls, MT 59405 | 2017-01-06 |
| 1811430150 | Juli Brandvold | Massage Therapist | 2400 4th Ave S., Great Falls, MT 59405 | 2016-11-18 |
| Find all providers in zip 59405 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134347347 | Carol Reyburn Martin | Internal Medicine | 10017 Park Royal Dr, Great Falls, VA 22066-1847 | 2007-04-23 |
| 1346489598 | Benefis Medical Group | Internal Medicine | 500 15th Avenue South, Ground Floor, Great Falls, MT 59405-4304 | 2009-02-11 |
| 1558484402 | Paul Gregory Dolan | Internal Medicine | 1101 26th St S, Great Falls, MT 59405-5161 | 2007-04-07 |
| 1609877471 | John T Molloy | Internal Medicine | 3000 15th Avenue South, Great Falls, MT 59405 | 2005-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679510101 | Glenda Wickstrom | Internal Medicine | 315 N 25th St, Suite 201, Billings, MT 59101-1328 | 2006-06-01 |
| 1790789279 | Ronald V Loge | Internal Medicine | 30 Hwy 91 S #103, Dillon, MT 59725 | 2005-06-13 |
| 1710541131 | Bozeman Health Deaconess Hospital | Internal Medicine | 937 Highland Blvd Ste 5410, Bozeman, MT 59715-6916 | 2019-05-01 |
| 1861895054 | Genesis Eldercare Physician Services LLC | Internal Medicine | 2400 Continental Dr, Butte, MT 59701 | 2014-10-01 |
| 1346389715 | William F. Antonioli | Internal Medicine | 2210 Massachusetts Ave, Butte, MT 59701-6043 | 2007-02-05 |
| 1467561431 | Patricia J. Coon | Internal Medicine | 801 N 29th St, Billings, MT 59101-0905 | 2006-08-30 |
| 1669492104 | Marilyn F. Grams | Internal Medicine | 2825 8th Ave N, Billings, MT 59101-0909 | 2006-07-20 |
| City | GREAT FALLS |
| Zip Code | 59405 |
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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.