Individual provider Active NPI

Thomas G. Bambrick, MD

  • Internal Medicine Physician
  • Harvey, LA
National Provider Identifier
1316926249
Registry record updated Sep 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
206831 Issued in LA
Practice address
2845 Manhattan Blvd
Harvey, LA 70058-2987
Phone
(504) 349-6930
NPI assigned
Jan 10, 2006
Last updated
Sep 12, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.040949 OH
Internal Medicine Physician 207R00000X 206831 LA Primary

Addresses

Primary practice location

2845 Manhattan Blvd
Harvey, LA 70058-2987

Mailing address

2845 Manhattan Blvd
Harvey, LA 70058-2987
Phone (504) 349-6930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
206831LAMDInternal Medicine Physician
35.040949OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Emergency Treatment Corporation Past Accepting new patients

Organizations & group practices 1

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410480000000",
    "number": "1316926249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 MANHATTAN BLVD",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700582987",
            "telephone_number": "504-349-6930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 MANHATTAN BLVD",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700582987",
            "telephone_number": "504-349-6930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAMBRICK",
        "first_name": "THOMAS",
        "middle_name": "G.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2014-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.040949",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "206831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvey, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; 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.