Brandon M Thomas, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3761 Issued in TN

Practice address

10132 Card Rd
Soddy Daisy, TN 37379-5116

Phone

(423) 401-0922

NPI assigned

Sep 3, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sports & Orthopedic Leaders Physical Therapy, Inc

  • Physical Therapist
  • Oakland, CA
  • NPI 1013981760
  NPD (past)

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1194193466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10132 CARD RD",
            "city": "SODDY DAISY",
            "state": "TN",
            "postal_code": "373795116",
            "telephone_number": "423-401-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10132 CARD RD",
            "city": "SODDY DAISY",
            "state": "TN",
            "postal_code": "373795116",
            "telephone_number": "423-401-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "BRANDON",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-03",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33377",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "3761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tennessee CVS Pharmacy LLC (CVS Pharmacy #05694)
• The Oxygen Store, Inc. (Oxygen and More)
• Detraves Neville Thicklin, ATC
• Thomas C. Flanagan, D.D.S.
• Amaiya Thomas
• Allison Beth Thompson
• Thrive Chiropractic-Soddy Daisy
• Darby Tobias, PT
• Laura T Truelove, MD
• William David Van Eaton, PT

• Chiropractor in Soddy Daisy, TN
• Providers in Soddy Daisy, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.