Individual provider Active NPI

Bradley Thomas, PA

  • Physician Assistant
  • Dallas, TX
National Provider Identifier
1124735931
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA18010 Issued in TX
Practice address
9301 N Central Expy Ste 500
Dallas, TX 75231-0805
Phone
(214) 220-2468
Fax
(469) 232-9738
NPI assigned
Nov 1, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA18010 TX Primary

Addresses

Primary practice location

9301 N Central Expy Ste 500
Dallas, TX 75231-0805

Mailing address

9301 N Central Expy Ste 500
Dallas, TX 75231-0805
Phone (214) 220-2468

Other practice location 1

3800 Gaylord Pkwy Ste 710
Frisco, TX 75034-9635
Phone (214) 220-2468

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240610003855 TX Practitioner - Physician Assistant 4880136407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ortholonestar PLLCGroup PAC ID 9931529062, 416 clinicians

Practice addresses (Care Compare)

3800 Gaylord Pkwy
Suite 710
Frisco, TX 75034-9635
Phone (214) 220-2468

9301 N Central Expy
Dallas, TX 75231-0805
Phone (214) 220-2468

9301 N Central Expy
Suite 451
Dallas, TX 75231-0832
Phone (214) 220-2468

Hospital & facility affiliations

  • North Central Surgical Center LLP Hospital, Dallas, TX, CCN 670049
  • Medical City Dallas Hospital Hospital, Dallas, TX, CCN 450647

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA18010TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ortholonestar, PLLC CurrentSince May 29, 2024 Accepting new patients
Ortholonestar, PLLC CurrentSince May 29, 2024 Accepting new patients

Locations

9301 N Central Expy
Ste 400500
Dallas, TX 75231

9301 N Central Expy
Ste 451
Dallas, TX 75231
Phone (214) 397-1570

9301 N Central Expy
Ste 500
Dallas, TX 75231

3800 Gaylord Pkwy
Ste 710
Frisco, TX 75034

Interoperability endpoints

  • Direct secure messaging: bradley.thomas.1@15533.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1124735931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 N CENTRAL EXPY STE 500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310805",
            "telephone_number": "214-220-2468",
            "fax_number": "469-232-9738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 N CENTRAL EXPY STE 500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310805",
            "telephone_number": "214-220-2468",
            "fax_number": "469-232-9738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 Gaylord Pkwy Ste 710",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750349635",
            "country_code": "US",
            "telephone_number": "214-220-2468",
            "fax_number": "214-378-3348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "BRADLEY",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-01",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA18010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.