Active NPI
Thomas D Brandt, MD
- Diagnostic Radiology Physician
- Easton, PA
National Provider Identifier
1124061171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD061639L
- Practice address
- 3735 Nazareth Rd
Suite 206
Easton, PA 18045-8338 - Phone
- (610) 252-6243
- Fax
- (610) 252-8614
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD061639L | PA | Primary |
Addresses
Primary practice location
3735 Nazareth Rd
Suite 206
Easton, PA 18045-8338
Mailing address
3735 Nazareth Rd
Suite 206
Easton, PA 18045-8338
Phone (610) 252-6243
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03056012 | Medicaid | PA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Univ of Penn Community Radiology | Diagnostic Radiology | Past | Accepting new patients |
| CHS Professional Practice, P.C. | Past | Accepting new patients | |
| Trustees of the University of Pennsylvania | Past | Accepting new patients |
Organizations & group practices 3
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.
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Diagnostic Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352332800000",
"number": "1124061171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3735 NAZARETH RD",
"address_2": "SUITE 206",
"city": "EASTON",
"state": "PA",
"postal_code": "180458338",
"telephone_number": "610-252-6243",
"fax_number": "610-252-8614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3735 NAZARETH RD",
"address_2": "SUITE 206",
"city": "EASTON",
"state": "PA",
"postal_code": "180458338",
"telephone_number": "610-252-6243",
"fax_number": "610-252-8614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDT",
"first_name": "THOMAS",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2012-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD061639L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03056012",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Easton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.