Bryan Anthony Thompson, CPT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

71212 Issued in AZ

Practice address

8819 W Echo LN
Peoria, AZ 85345-7834

Phone

(623) 877-9305

NPI assigned

Dec 26, 2016

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1482710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482710400000",
    "number": "1164967394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8819 W ECHO LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853457834",
            "telephone_number": "623-877-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8819 W ECHO LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853457834",
            "telephone_number": "623-877-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "BRYAN",
        "middle_name": "ANTHONY",
        "credential": "CPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-26",
        "last_updated": "2016-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "71212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeff Thomas
• Laneasha Thomas, RN
• Pamela Carole Thomas
• Elizabeth Ann Thomason, PHARM D.
• Brian Scott Thompson Jr., DO
• Craig D Thompson, DDS
• Elissa Eileen Thompson, MSW, LCSW
• Tammy Thompson, LCMHC, MLADC, LPC
• Vickie R Thompson
• Tanya L Thoms, DPM

• Athletic Trainer in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Athletic Trainer in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.