Thomas L Broster, M.D.
Individual provider Active NPI Anesthesiology Physician · Lexington, KY
NPI 1053496331 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1053496331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 25093 (KY)
- Practice address
- 1740 Nicholasville Rd
Lexington, KY 40503-1431 - Phone
- (859) 260-6100
- NPI assigned
- Oct 26, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 25093 | KY | Yes |
Addresses
Primary practice location
1740 Nicholasville Rd
Lexington, KY 40503-1431
Mailing address
425 Lewis Hargett Cir
Lexington, KY 40503-3590
Phone (859) 268-1030
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64250939 | Medicaid | KY |
Other providers in Lexington, KY
- Trae Chatfield Brooks
- William Houston Brooks
- Makenzie Nicole Brookshire
- Brookwell Health LLC
- Anita Louise Broomall
- Lucas Kyle Brothers
- Bruce Charles Broudy
- Robert Allen Broughton
- Amy Elizabeth Brouillette
- Kent Russell Brouwer
All providers in Lexington, KY · Anesthesiology Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.