Individual provider Active NPI

Bradley P Thomas, MD

  • Diagnostic Radiology Physician
  • Montgomery, AL
National Provider Identifier
1740337542
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD26715 Issued in AL
Practice address
2055 Normandie Dr Ste 110
Montgomery, AL 36111-2732
Phone
(334) 288-4624
Fax
(334) 280-3628
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD26715 AL
Neuroradiology Physician 2085N0700X MD26715 AL
Diagnostic Radiology Physician 2085R0202X MD26715 AL Primary

Addresses

Primary practice location

2055 Normandie Dr Ste 110
Montgomery, AL 36111-2732

Mailing address

2055 Normandie Dr Ste 110
Montgomery, AL 36111-2732
Phone (343) 288-4624

Other identifiers 1

IdentifierTypeStateIssuer
009963640MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20080505000012 AL Practitioner - Diagnostic Radiology 5294828364 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Alabama School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Selma Radiology Associates P CGroup PAC ID 3870497720, 28 clinicians
Alabama Imaging PCGroup PAC ID 2365341328, 32 clinicians
Montgomery Radiology Associates PAGroup PAC ID 2961301999, 39 clinicians

Practice addresses (Care Compare)

1015 Medical Ctr Pkwy
Selma, AL 36701-6748
Phone (334) 418-4100

2000 Pepperell Pkwy
Opelika, AL 36801-5452
Phone (334) 269-6337

2105 E S Blvd
Montgomery, AL 36116-2409
Phone (334) 288-2100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD26715ALMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery Radiology Associates, PA Specialist CurrentSince Jan 1, 2021 Accepting new patients
Alabama Imaging PC Specialist CurrentSince Jan 1, 2021 Accepting new patients
Selma Radiology Associates P C Specialist CurrentSince Jan 1, 2021 Accepting new patients
Jackson Hospital & Clinic, Inc. Past Accepting new patients
Central Alabama MRI, LLC Diagnostic Radiology PastSince Apr 30, 2003 Accepting new patients

Locations

1301 Belleville Ave
Brewton, AL 36426
Phone (251) 809-8439

105 US Highway 80 E
Demopolis, AL 36732
Phone (334) 287-2669

2016 S Alabama Ave
Monroeville, AL 36460
Phone (251) 575-3111

2055 Normandie Dr
Ste 110
Montgomery, AL 36111
Phone (334) 288-4624

2055 Normandie Dr
Montgomery, AL 36111
Phone (334) 288-2100

400 Taylor Rd
Montgomery, AL 36117
Phone (334) 213-6287

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

2055 Normandie Dr
Ste 200
Montgomery, AL 36111
Phone (205) 262-0655

2000 Pepperell Pkwy
Opelika, AL 36801
Phone (334) 364-3300

1015 Medical Center Pkwy
Selma, AL 36701
Phone (334) 418-4100

Organizations & group practices 5

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

Hospital & facility affiliations 5

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1740337542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 NORMANDIE DR STE 110",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361112732",
            "telephone_number": "343-288-4624",
            "fax_number": "343-280-3628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 NORMANDIE DR STE 110",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361112732",
            "telephone_number": "334-288-4624",
            "fax_number": "334-280-3628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "BRADLEY",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "MD26715",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "AL",
            "license": "MD26715",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "MD26715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009963640",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.