Active NPI
Brett Thomas, DO
- Dermatology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 011784
- Practice address
- 4512 N 40TH St
Phoenix, AZ 85018-3604 - Phone
- (602) 954-7546
- NPI assigned
- Mar 31, 2021
- Last updated
- Aug 8, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 011784 | AZ | Primary |
Addresses
Primary practice location
4512 N 40TH St
Phoenix, AZ 85018-3604
Mailing address
9900 N Central Expy Ste 500
Dallas, TX 75231-0928
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Kansas City College of Medicine and Surgery, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4512 N 40TH St
Phoenix, AZ 85018-3604
Phone (602) 954-7546
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 23 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 131 |
| Removal or shaving of skin growth | 20 |
| Skin biopsy | 64 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011784 | AZ | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Dermatology, PLLC | Dermatology | Current | Accepting new patients |
| Camelback Dermatology & Skin Surgery, Inc | Dermatology | Current | Accepting new patients |
| Center for Dermatology, PLLC | Past | Accepting new patients |
Locations
11209 N Tatum Blvd
Ste 175
Phoenix, AZ 85028
Phone (602) 652-8900
4512 N 40th St
Phoenix, AZ 85018
Phone (602) 954-7546
14275 N 87th St
Ste 110
Scottsdale, AZ 85260
Phone (480) 223-9501
9900 N Central Expy
Ste 500
Dallas, TX 75231
Phone (214) 692-1900
Interoperability endpoints
- brett.thomas@hca4.eclinicaldirectplus.com
- brettthomas@pdpaz.emadirect.md
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
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.
-
dba Arizona Dermatology
- Dermatology Physician
- Scottsdale, AZ
- NPI 1194792416
-
- Dermatology Physician
- Phoenix, AZ
- NPI 1225175441
-
- Medical Physician Assistant
- Scottsdale, AZ
- NPI 1174062673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754611200000",
"number": "1548848492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9900 N CENTRAL EXPY STE 500",
"city": "DALLAS",
"state": "TX",
"postal_code": "752310928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4512 N 40TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850183604",
"telephone_number": "602-954-7546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "BRETT",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-31",
"last_updated": "2025-08-08",
"certification_date": "2025-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "AZ",
"license": "011784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.