Active NPI
Bria M Thompson, PA-C
- Physician Assistant
- Stanford, KY
National Provider Identifier
1215464466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- TC624
- Practice address
- 100 Jay St
Stanford, KY 40484-7511 - Phone
- (859) 365-1547
- NPI assigned
- May 18, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 561008171 | MI | |
| Physician Assistant | 363A00000X | TC624 | KY | Primary |
Addresses
Primary practice location
100 Jay St
Stanford, KY 40484-7511
Mailing address
100 Jay St
Stanford, KY 40484-7511
Phone (859) 365-1547
Other practice location 1
461 W Huron St
Pontiac, MI 48341-1601
Phone (248) 857-7200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14098 US Hwy 27 S
Waynesburg, KY 40489-0330
14098 US Hwy 27 S
Waynesburg, KY 40489-8253
Phone (606) 379-6646
Hospital & facility affiliations
- Lifeline Health Care of Pulaski
- Ephraim McDowell Fort Logan Hospital
- Ephraim McDowell Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 561008171 | MI | MD | Physician Assistant |
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.
-
- Rural Health Clinic/Center
- Waynesburg, KY
- NPI 1669670816
-
- Rural Health Clinic/Center
- Stanford, KY
- NPI 1598869638
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Stanford, KY
- NPI 1932254265
-
- Rehabilitation Hospital Unit
- Danville, KY
- NPI 1639360472
-
- General Acute Care Hospital
- Danville, KY
- NPI 1821135963
-
- Home Health Agency
- Somerset, KY
- NPI 1114951993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1215464466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 JAY ST",
"city": "STANFORD",
"state": "KY",
"postal_code": "404847511",
"telephone_number": "859-365-1547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 JAY ST",
"city": "STANFORD",
"state": "KY",
"postal_code": "404847511",
"telephone_number": "859-365-1547"
}
],
"practiceLocations": [
{
"address_1": "461 W Huron St",
"address_purpose": "LOCATION",
"city": "Pontiac",
"state": "MI",
"postal_code": "483411601",
"country_code": "US",
"telephone_number": "248-857-7200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMPSON",
"first_name": "BRIA",
"middle_name": "M",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "561008171",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "TC624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stanford, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.