Keith Bradley Thomson, M.ED., ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

433 Issued in OK

Practice address

600 S College Ave
Tulsa, OK 74104-3126

Phone

(918) 631-5423

Fax

(918) 631-3057

NPI assigned

May 30, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407057243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S COLLEGE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741043126",
            "telephone_number": "918-232-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S COLLEGE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741043126",
            "telephone_number": "918-631-5423",
            "fax_number": "918-631-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMSON",
        "first_name": "KEITH",
        "middle_name": "BRADLEY",
        "name_prefix": "Mr.",
        "credential": "M.ED., ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OK",
            "license": "433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sidney Thompson
• Summer Renee Thompson
• Summer Wilson Thompson, RD/LD
• Susanne Patricia Thompson, DO
• Tera Thompson
• Melissa Lynne Thorman, M.S., LPC
• Amy Thornburg, PHARMD
• Matthew Thornburg
• Tala Thorne-Bateman, DPT
• Dana Lee Thorne, REGISTERED DIETITION

• Athletic Trainer in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Athletic Trainer in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.