Active NPI
Brecken Nathaniel Thomas
- Physician Assistant
- Argillite, KY
National Provider Identifier
1336919828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 8017 State Route 503
Argillite, KY 41121-8616 - Phone
- (606) 315-6969
- NPI assigned
- Jan 5, 2024
- Last updated
- Sep 14, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
8017 State Route 503
Argillite, KY 41121-8616
Mailing address
8017 State Route 503
Argillite, KY 41121-8616
Phone (606) 315-6969
Other practice location 1
3200 MacCorkle Ave SE
Charleston, WV 25304-1227
Phone (304) 388-5432
Other practice location 2
501 Morris St # A
Charleston, WV 25301-1326
Phone (304) 388-5432
Other practice location 3
800 Pennsylvania Ave
Charleston, WV 25302-3351
Phone (304) 388-5432
Other practice location 4
415 Morris St Ste 201
Charleston, WV 25301-1853
Phone (304) 388-7700
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789344000000",
"number": "1336919828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8017 STATE ROUTE 503",
"city": "ARGILLITE",
"state": "KY",
"postal_code": "411218616",
"telephone_number": "606-315-6969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8017 STATE ROUTE 503",
"city": "ARGILLITE",
"state": "KY",
"postal_code": "411218616",
"telephone_number": "606-315-6969"
}
],
"practiceLocations": [
{
"address_1": "3200 MacCorkle Ave SE",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253041227",
"country_code": "US",
"telephone_number": "304-388-5432",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "501 Morris St # A",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253011326",
"country_code": "US",
"telephone_number": "304-388-5432",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 Pennsylvania Ave",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253023351",
"country_code": "US",
"telephone_number": "304-388-5432",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "415 Morris St Ste 201",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253011853",
"country_code": "US",
"telephone_number": "304-388-7700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "BRECKEN",
"middle_name": "NATHANIEL",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-01-05",
"last_updated": "2026-09-14",
"certification_date": "2026-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Argillite, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.