Thomas Anthony Bauers

Primary specialty

Sonography Radiologic TechnologistTaxonomy code 2471S1302X

License

24651 Issued in AZ

Practice address

1770 E Villa Dr
Cottonwood, AZ 86326-4647

Phone

(928) 202-0622

NPI assigned

Apr 24, 2015

Sex

Male

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)

Enrolled

State licenses

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429833600000",
    "number": "1487041794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1165",
            "city": "JEROME",
            "state": "AZ",
            "postal_code": "863311165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 E VILLA DR",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264647",
            "telephone_number": "928-202-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUERS",
        "first_name": "THOMAS",
        "middle_name": "ANTHONY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-24",
        "last_updated": "2015-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": "AZ",
            "license": "24651",
            "primary": false
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "AZ",
            "license": "24651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barnet Dulaney Perkins Eye Center, PC (American Vision Partners)
• Stephanie C Barrow, MA
• Angela Bassett
• Jehangir B Bastani IV, M.D.
• Matthew Bateman, CO
• Bella Vita Healthcare
• Bella Vita Healthcare
• Christopher Benda, PTA
• Linda Elaine Bennardo, LPC
• Joseph Thomas Bergerson, M.D.

• Sonography Radiologic Technologist in Cottonwood, AZ
• Providers in Cottonwood, AZ by specialty
• Sonography Radiologic Technologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; 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.