Marie Bugnitz Thompson

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

67807 Issued in TN

Practice address

7675 Wolf River Cir Ste 102
Germantown, TN 38138-1747

Phone

(901) 755-8300

NPI assigned

Apr 1, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mthompson31070@mlh.direct-ci.com

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.

• Pediatrics East Inc

  • Pediatrics Physician
  • Cordova, TN
  • NPI 1427066695
  NPD (past)

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1104454248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N DUNLAP ST FL 6",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381032800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7675 WOLF RIVER CIR STE 102",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381747",
            "telephone_number": "901-755-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MARIE",
        "middle_name": "BUGNITZ",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-01",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "67807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Louise Thompson, CCCSLP
• Bryan F Thompson, M.D.
• Kirk Michael Thompson, MD
• Lauren Thompson
• Lisa Thompson, M.A.
• Natascha Stone Thompson, MD
• Norfleet Buckner Thompson, M.D.
• Sarah Pierce Thornell, LCSW
• Christy Thornhill, NP
• Amanda Blair Thornton, APRN

• Pediatrics Physician in Germantown, TN
• Providers in Germantown, TN by specialty
• Pediatrics Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.