Active NPI
James Merwyn Thompson, MD
- Family Medicine Physician
- Goldthwaite, TX
National Provider Identifier
1104121052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D8458
- Practice address
- 1206 Fourth St
Goldthwaite, TX 76844 - Phone
- (325) 451-4800
- NPI assigned
- Jan 24, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D8458 | TX | Primary |
| Adult Medicine Physician | 207QA0505X | D8458 | TX |
Addresses
Primary practice location
1206 Fourth St
Goldthwaite, TX 76844
Mailing address
PO Box 508
1206 Fourth St
Goldthwaite, TX 76844-0508
Phone (325) 451-4800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D8458 | TX | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295827200000",
"number": "1104121052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 508",
"address_2": "1206 FOURTH ST",
"city": "GOLDTHWAITE",
"state": "TX",
"postal_code": "768440508",
"telephone_number": "325-451-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1206 FOURTH ST",
"city": "GOLDTHWAITE",
"state": "TX",
"postal_code": "76844",
"telephone_number": "325-451-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "JAMES",
"middle_name": "MERWYN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-24",
"last_updated": "2011-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "D8458",
"primary": true
},
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "TX",
"license": "D8458",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goldthwaite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.