Individual provider Active NPI

Millard Brady Thomas III, MD

  • Family Medicine Physician
  • Asheboro, NC
National Provider Identifier
1245235373
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34480 Issued in NC
Practice address
132 W Miller St
Suite C
Asheboro, NC 27203-4774
Phone
(336) 626-3202
Fax
(336) 521-4923
NPI assigned
Jun 16, 2005
Last updated
May 3, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34480 NC Primary

Addresses

Primary practice location

132 W Miller St
Suite C
Asheboro, NC 27203-4774

Mailing address

PO Box 5418
Asheboro, NC 27204-5418
Phone (336) 625-2333

Other identifiers 7

IdentifierTypeStateIssuer
1729735OtherNCFIRST HEALTH
030462070OtherNCHEALTH CARE SAVINGS
1368OtherNCCIGNA
0101810OtherNCUNITED HEALTH CARE
8982788MedicaidNC
53695OtherNCMEDCOST
82788OtherNCBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040407001056 NC Practitioner - Family Practice 3375536071 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
34480NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Healthcare Systems, LLC Current Accepting new patients
American Healthcare Systems, LLC CurrentSince Oct 1, 2021 Accepting new patients
American Healthcare Systems, LLC CurrentSince Oct 1, 2021 Accepting new patients
American Healthcare Systems, LLC Past Accepting new patients

Locations

124 N Park St
Asheboro, NC 27203
Phone (336) 625-1007

132 W Miller St
Ste C
Asheboro, NC 27203
Phone (336) 521-4928

218 Foust St
Ste C
Asheboro, NC 27203
Phone (336) 625-2333

237 N Fayetteville St
Ste A
Asheboro, NC 27203
Phone (336) 625-3248

Interoperability endpoints

  • Direct secure messaging: millardthomas@rma.allscriptsdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493769600000",
    "number": "1245235373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5418",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272045418",
            "telephone_number": "336-625-2333",
            "fax_number": "336-625-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 W MILLER ST",
            "address_2": "SUITE C",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272034774",
            "telephone_number": "336-626-3202",
            "fax_number": "336-521-4923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MILLARD",
        "middle_name": "BRADY",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2017-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "34480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "1729735",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CARE SAVINGS",
            "identifier": "030462070",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1368",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "0101810",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8982788",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "53695",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "82788",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheboro, NC

Sources for this page

Verify at the official NPI Registry.