Individual provider Active NPI

Brian Scott Thompson Jr., DO

  • Family Medicine Physician
  • Peoria, AZ
National Provider Identifier
1720770415
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R3975 Issued in AZ
Practice address
10280 N 91St Ave
Peoria, AZ 85345-6461
Phone
(520) 526-4396
NPI assigned
May 22, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R3975 AZ Primary

Addresses

Primary practice location

10280 N 91St Ave
Peoria, AZ 85345-6461

Mailing address

10280 N 91St Ave
Peoria, AZ 85345-6461
Phone (520) 526-4396

Other practice location 1

5016 W Cactus Rd
Glendale, AZ 85304-2245
Phone (602) 962-3748

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address brian.thompson.2@29601.direct.athenahealth.com
Direct Messaging Address brian.thompson.1@29601.direct.athenahealth.com

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6101 Blue Lagoon Dr
Suite 200
Miami, FL 33126

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R3975AZMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1720770415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10280 N 91ST AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853456461",
            "telephone_number": "520-526-4396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10280 N 91ST AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853456461",
            "telephone_number": "520-526-4396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5016 W Cactus Rd",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853042245",
            "country_code": "US",
            "telephone_number": "602-962-3748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "BRIAN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-22",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "R3975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brian.thompson.2@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "5016 W Cactus Rd",
            "city": "Glendale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853042245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brian.thompson.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "5016 W Cactus Rd",
            "city": "Glendale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853042245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.