Brenda E Thomas, PHLEBOTOMIST

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

731 E Beverly Ave
Pontiac, MI 48340-2914

Phone

(248) 464-6540

Fax

(248) 393-2822

NPI assigned

Nov 8, 2021

Sex

Female

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)

Not enrolled

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1326703000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3079 S BALDWIN RD STE 1012",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483591028",
            "telephone_number": "248-464-6540",
            "fax_number": "248-393-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 E BEVERLY AVE",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483402914",
            "telephone_number": "248-464-6540",
            "fax_number": "248-393-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "BRENDA",
        "middle_name": "E",
        "credential": "PHLEBOTOMIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theramatrix, Inc.
• Logan Thirkill
• Varshini Thiruvadi, M.D.
• Thomas Mathew MD PLLC
• Beverly V Thomas
• Camona Thomas
• Cassandra Thomas, LMSW
• Coletta Nelson Thomas, PSY.D, LLP
• Deandra Medora Thomas
• Deangelo Thomas

• Other Technician in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Other Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.