Thomas G. Briles, MD
Individual provider Active NPI Anesthesiology Physician · Overland Park, KS
NPI 1114908563 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1114908563
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 04-24992 (KS)
- Practice address
- 5721 W 119TH St
Overland Park, KS 66209-3722 - Phone
- (816) 763-5446
- NPI assigned
- Nov 10, 2005
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-24992 | KS | MD | Anesthesiology Physician |
| MD R3P74 | MO | MD | Anesthesiology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD R3P74 | MO | |
| Anesthesiology Physician | 207L00000X | 04-24992 | KS | Yes |
Addresses
Primary practice location
5721 W 119TH St
Overland Park, KS 66209-3722
Mailing address
10301 Hickman Mills Dr
100
Kansas City, MO 64137-1674
Phone (816) 763-5446
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100141220B | Medicaid | KS | |
| 203052808 | Medicaid | MO |
Other providers in Overland Park, KS
- Bridge Therapy LLC
- Barbara Latinis Bridges
- Briggs Acquisition-Overland Park
- Brighter Strides ABA KS LLC
- Brightside Health, Inc.
- Pamela S Brill
- Bringing Therapy Home, LLC
- Richard Joseph Brinkman
- Abigail Francis Brisbane
- Susann M Briseno
All providers in Overland Park, KS · Anesthesiology Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.