Active NPI
Thomas P Bathrick DO, PC
- Critical Care Medicine (Internal Medicine) Physician
- South Bend, IN
National Provider Identifier
1508048752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 02000736A
- Legal business name
- THOMAS P BATHRICK DO, PC
- Doing business as
- THOMAS P BATHRICK DO, PC
- Practice address
- 1432 Lincoln Way E
South Bend, IN 46613-3205 - Phone
- (574) 234-0851
- Fax
- (574) 234-7072
- NPI assigned
- Nov 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thomas P Bathrick, D.O.
- Title
- Owner
- Phone
- (574) 234-0851
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 02000736A | IN | Primary |
Addresses
Primary practice location
1432 Lincoln Way E
South Bend, IN 46613-3205
Mailing address
1432 Lincoln Way E
South Bend, IN 46613-3205
Phone (574) 234-0851
Other names 1
- THOMAS P BATHRICK DO, PC
National Provider Directory
National Provider DirectoryLocations
1432 Lincoln Way E
South Bend, IN 46613
Phone (574) 234-0851
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- South Bend, IN
- NPI 1780620005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1382054400000",
"number": "1508048752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1432 LINCOLN WAY E",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466133205",
"telephone_number": "574-234-0851",
"fax_number": "574-234-7072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1432 LINCOLN WAY E",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466133205",
"telephone_number": "574-234-0851",
"fax_number": "574-234-7072"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS P BATHRICK DO, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-29",
"last_updated": "2013-10-18",
"status": "A",
"authorized_official_last_name": "BATHRICK",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "574-234-0851",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "IN",
"license": "02000736A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "THOMAS P BATHRICK DO, PC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.