Thomas B Brummett, MD

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

036072125 Issued in IL

Practice address

3 Professional Dr
Ste B
Alton, IL 62002

Phone

(618) 465-7177

Fax

(618) 465-7176

NPI assigned

Aug 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Piasa Anesthesia LLC

  • Pain Medicine Physician
  • Alton, IL
  • NPI 1013958461

  Pain Medicine

  NPD (past) Authorized official
• Piasa Pain Center LLC

  • Pain Clinic/Center
  • Acton, IL
  • NPI 1558583732
  NPD (past) Authorized official

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458259200000",
    "number": "1366550352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 SAUNDERSVILLE RD",
            "address_2": "SUITE 160",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370758903",
            "telephone_number": "615-824-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PROFESSIONAL DR",
            "address_2": "STE B",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "62002",
            "telephone_number": "618-465-7177",
            "fax_number": "618-465-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUMMETT",
        "first_name": "THOMAS",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2016-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036072125",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "IL",
            "license": "036072125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036072125",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Autumn Brown
• Deena M Brown, FNP
• Lynn A. Brown, F.N.P.
• Bruce D Brueggemann
• Cassandra D Brumfield, AAS
• Nicole Renee Brunaugh, NP
• Wynndel T Buenger, MD
• Kyle Anthony Buesteton, D.C.
• Brandy Maxine Bumgardner, APRN, CNP
• Lawrence G Burch, M.D.

• All providers in Alton, IL
• Pain Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; 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.