Thomas L. Prosser, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA2121 Issued in FL

Practice address

6110 State Road 70 E
Bradenton, FL 34203-9707

Phone

(941) 755-4242

Fax

(941) 755-1906

NPI assigned

Jun 20, 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

Physician Assistant

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.

• Healthcare America Medical Group, Inc.

  • Family Medicine Physician
  • Bradenton, FL
  • NPI 1487665642
  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370995200000",
    "number": "1508801671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 CORTEZ RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103104",
            "telephone_number": "941-752-2700",
            "fax_number": "941-752-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6110 STATE ROAD 70 E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342039707",
            "telephone_number": "941-755-4242",
            "fax_number": "941-755-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROSSER",
        "first_name": "THOMAS",
        "middle_name": "L.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2013-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA2121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255473900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Pritchard, P.T.
• Private Psychiatry of South West Florida. Inc
• Richard A Proctor, D.O., PHARM.D.,
• Prof/Guidewell Sanitas Med CNT
• Christine Profito, PSY.D.
• Carly Provan, CRNA
• Providia Home Care LLC.
• Regina D Pruitt, PA-C
• Publix Pharmacy
• Publix Super Markets Inc

• All providers in Bradenton, FL
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.

Verify at the official NPI Registry.