Brenton David Thrasher, M.D.

Primary specialty

Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X

License

ME77922 Issued in FL

Practice address

811 S J St
Lake Worth, FL 33460-5043

Phone

(561) 200-9944

Fax

(561) 200-9944

NPI assigned

Dec 7, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Doctor's Office

  • Addiction Medicine (Internal Medicine) Physician
  • Lake Worth, FL
  • NPI 1275846800
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313280000000",
    "number": "1003975954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 S J ST",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334605043",
            "telephone_number": "561-200-9944",
            "fax_number": "561-200-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 S J ST",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334605043",
            "telephone_number": "561-200-9944",
            "fax_number": "561-200-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THRASHER",
        "first_name": "BRENTON",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-07",
        "last_updated": "2011-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "FL",
            "license": "ME77922",
            "primary": false
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "FL",
            "license": "ME77922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1275846800",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "46787Y",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Thiem, D.C.
• Chris Thomas
• Cheryl Ann Thompson, ARNP
• Elizabeth (Betsy) Ann Thorn, M.A., CCC-SLP
• Thoughts Feelings Behaviors Health Services LLC
• Tier One Laboratories LLC
• Ryan Tinio
• Genee Tinsley
• Monica Tirtarahardja, PA-C
• TNR Staffing, LLC (Progressive Therapy Solutions)

• Sports Medicine (Internal Medicine) Physician in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Sports Medicine (Internal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.