Active NPI
Millard Brady Thomas III, MD
- Family Medicine Physician
- Asheboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34480
- 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, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1729735 | Other | NC | FIRST HEALTH |
| 030462070 | Other | NC | HEALTH CARE SAVINGS |
| 1368 | Other | NC | CIGNA |
| 0101810 | Other | NC | UNITED HEALTH CARE |
| 8982788 | Medicaid | NC | |
| 53695 | Other | NC | MEDCOST |
| 82788 | Other | NC | BLUE 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34480 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Healthcare Systems, LLC | Current | Accepting new patients | |
| American Healthcare Systems, LLC | Current | Accepting new patients | |
| American Healthcare Systems, LLC | Current | 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
- 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.
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- NPI 1346078425
-
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- NPI 1689269722
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.