Bryon Wesley Thomas, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01052749 Issued in IN

Practice address

303 S Main St
Suite 212
Mishawaka, IN 46544-2189

Phone

(574) 254-0800

Fax

(574) 254-0812

NPI assigned

Jun 6, 2006

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

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.

• Everside Health, LLC

  • Primary Care Clinic/Center
  • Elkhart, IN
  • NPI 1396236659
  NPD (past)
• Saint Joseph Regional Medical Center, Inc.

  • Pulmonary Disease Physician
  • Plymouth, IN
  • NPI 1225082878
  NPD (past)
• Saint Joseph Regional Medical Center, Inc.

  • Family Medicine Physician
  • Mishawaka, IN
  • NPI 1467406074

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346198400000",
    "number": "1497794010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S MAIN ST",
            "address_2": "SUITE 212",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465442189",
            "telephone_number": "574-254-0800",
            "fax_number": "574-254-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S MAIN ST",
            "address_2": "SUITE 212",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465442189",
            "telephone_number": "574-254-0800",
            "fax_number": "574-254-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "BRYON",
        "middle_name": "WESLEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2012-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01052749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200290600A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Health and Hospital Corporation of Marion County
• The Lasik Vision Insitute LLC
• The South Bend Clinic LLC
• Brittney Lynn Thibault
• Anita Marie Thomas, PHARMD
• Jill Thomas
• Katelyn L Thomas
• Kathaleen L Thomas, FNP
• Virginia Thomas
• Mike Thompson

• All providers in Mishawaka, IN
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.