Thomas J. Derbes, M.D., LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

ME48177 Issued in FL

Legal business name

THOMAS J. DERBES, M.D., LLC

Practice address

100 Doctors Dr
Suite B
Panama City, FL 32405-7608

Phone

(850) 872-1300

Fax

(850) 872-1300

NPI assigned

Apr 8, 2016

Last updated

Apr 8, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Brenda Burns

Title

Adm

Phone

(850) 872-1300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460073600000",
    "number": "1033573720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DOCTORS DR",
            "address_2": "SUITE B",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324057608",
            "telephone_number": "850-872-1300",
            "fax_number": "850-872-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DOCTORS DR",
            "address_2": "SUITE B",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324057608",
            "telephone_number": "850-872-1300",
            "fax_number": "850-872-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J. DERBES, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-08",
        "last_updated": "2016-04-08",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "ADM",
        "authorized_official_telephone_number": "850-872-1300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME48177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "26046",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Therapy One Rehabilitation Center, Inc. (Therapy One Rehabilitation, Health & Fitness Center, Inc.)
• Therapy Online Inc
• There's No Place Like Hope
• Sarah Theriot
• Thomas J Derbes MD PA
• Audegyne Thomas-Douyon, LMHC
• Jennifer Sue Thomas-Simmons, L.C.S.W.
• Amy Randall Thomas, LCSW
• Cynthia Anne Thomas, ARNP
• John Beasley Thomas IV, M.D.

• Neurology Physician in Panama City, FL
• Providers in Panama City, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; 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.