Individual provider Active NPI

Thomas Francis Brockmeyer, MD

  • Orthopaedic Surgery Physician
  • Belle Vernon, PA
National Provider Identifier
1629078654
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD032311E Issued in PA
Practice address
800 Plaza Dr
Suite 240
Belle Vernon, PA 15012-4019
Phone
(724) 379-5816
Fax
(724) 379-5816
NPI assigned
Aug 1, 2005
Last updated
Sep 25, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD032311E PA Primary

Addresses

Primary practice location

800 Plaza Dr
Suite 240
Belle Vernon, PA 15012-4019

Mailing address

800 Plaza Dr
Suite 240
Belle Vernon, PA 15012-4019
Phone (724) 379-5816

Other identifiers 1

IdentifierTypeStateIssuer
0011326590003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1629078654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 PLAZA DR",
            "address_2": "SUITE 240",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "150124019",
            "telephone_number": "724-379-5816",
            "fax_number": "724-379-5816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PLAZA DR",
            "address_2": "SUITE 240",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "150124019",
            "telephone_number": "724-379-5816",
            "fax_number": "724-379-5816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKMEYER",
        "first_name": "THOMAS",
        "middle_name": "FRANCIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-01",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD032311E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011326590003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Vernon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.