Individual provider Active NPI

Brook Allen Thomson, M.D.

  • Obstetrics & Gynecology Physician
  • Boise, ID
National Provider Identifier
1548290141
Registry record updated Jun 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
M-10685 Issued in ID
Practice address
1055 N. Curtis Rd
Boise, ID 83706-1309
Phone
(208) 367-2121
NPI assigned
Jul 3, 2006
Last updated
Jun 26, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X M-10685 ID Primary
Obstetrics & Gynecology Physician 207V00000X MD25272 OR

Addresses

Primary practice location

1055 N. Curtis Rd
Boise, ID 83706-1309

Mailing address

3340 East Goldstone Way
Meridian, ID 83642-1026
Phone (208) 367-5170

Other identifiers 4

IdentifierTypeStateIssuer
275405MedicaidOR
9305053253018OtherOREMPLOYER ID
P00163218OtherORPACIFIC SOURCE
079178000OtherORBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160516000327 TX Practitioner - Obstetrics/Gynecology 1951377076 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Uniformed Services Uhs Fe Hebert School of Med, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8300 Floyd Curl Dr
San Antonio, TX 78229-3931
Phone (210) 450-9000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD25272ORMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medicine Associates CurrentSince Aug 1, 2021 Accepting new patients
Baylor College of Medicine CurrentSince May 2, 2016 Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince Jun 1, 2021 Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Jun 1, 2021 Accepting new patients
University of Texas Health Science Center at San Antonio Obstetrics & Gynecology Current Accepting new patients
Bexar County Hospital District Past Accepting new patients
Grande Ronde Hospital Inc. Obstetrics & Gynecology Past Accepting new patients

Locations

302 Dora St
San Antonio, TX 78212
Phone (210) 358-8255

333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 567-6405

8300 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-9300

903 W Martin St
San Antonio, TX 78207
Phone (210) 358-3400

903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441

Interoperability endpoints

  • Direct secure messaging: bthomson32847@direct.utmsa.com
  • Direct secure messaging: bthomson408470@uhssa.direct-ci.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245974400000",
    "number": "1548290141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 EAST GOLDSTONE WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421026",
            "telephone_number": "208-367-5170",
            "fax_number": "208-367-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N. CURTIS RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061309",
            "telephone_number": "208-367-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMSON",
        "first_name": "BROOK",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2009-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "ID",
            "license": "M-10685",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "MD25272",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275405",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYER ID",
            "identifier": "9305053253018",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFIC SOURCE",
            "identifier": "P00163218",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "079178000",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.