Individual provider Active NPI

Brett Thomas, DO

  • Dermatology Physician
  • Phoenix, AZ
National Provider Identifier
1548848492
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
011784 Issued in AZ
Practice address
4512 N 40TH St
Phoenix, AZ 85018-3604
Phone
(602) 954-7546
NPI assigned
Mar 31, 2021
Last updated
Aug 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250825002215 AZ Practitioner - Dermatology 1557760311 Reassigns benefits to 1 organization

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
Center for Dermatology PLLCGroup PAC ID 1557355385, 69 clinicians

Practice addresses (Care Compare)

4512 N 40TH St
Phoenix, AZ 85018-3604
Phone (602) 954-7546

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision23
Removal of tissue1-10
Removal of skin lesions131
Removal or shaving of skin growth20
Skin biopsy64

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
011784AZMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Dermatology, PLLC Dermatology CurrentSince Sep 1, 2025 Accepting new patients
Camelback Dermatology & Skin Surgery, Inc Dermatology CurrentSince Aug 10, 2025 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

  • Direct secure messaging: brett.thomas@hca4.eclinicaldirectplus.com
  • Direct secure messaging: brettthomas@pdpaz.emadirect.md
  • FHIR API: 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.

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

Verify at the official NPI Registry.