Individual provider Active NPI

Brandon T. Thomas, D.O.

  • Emergency Medicine Physician
  • Kennewick, WA
National Provider Identifier
1750308359
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OP00002209 Issued in WA
Practice address
4804 W Clearwater Ave
Kennewick, WA 99336-2119
Phone
(509) 942-2355
Fax
(509) 222-1289
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OP00002209 WA
Emergency Medicine Physician 207P00000X OP00002209 WA Primary

Addresses

Primary practice location

4804 W Clearwater Ave
Kennewick, WA 99336-2119

Mailing address

550 Gage Blvd Ste 101
Richland, WA 99352-9532
Phone (509) 942-3627

Other practice location 1

PO Box S
Kennewick, WA 99336-0611
Phone (509) 737-1492

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20070814000175 WA Practitioner - Emergency Medicine 4082647417 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kadlec Regional Medical CenterGroup PAC ID 9739098617, 402 clinicians

Practice addresses (Care Compare)

4804 W Clearwater Ave
Kennewick, WA 99336-2119
Phone (509) 942-2355

Hospital & facility affiliations

  • Tri-Cities Chaplaincy Hospice Hospice, Richland, WA, CCN 501510
  • Kadlec Regional Medical Center Hospital, Richland, WA, CCN 500058
  • Providence St Mary Medical Center Hospital, Walla Walla, WA, CCN 500002

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4232OKMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kadlec Regional Medical Center Current Accepting new patients
Washington Emergency Physician Partners PLLC Emergency Medicine CurrentSince Jun 1, 2022 Accepting new patients
Tri-Cities Chaplaincy CurrentSince Jun 1, 2025 Accepting new patients
Kadlec Regional Medical Center CurrentSince Jun 20, 2022 Accepting new patients
Washington Emergency Physician Partners, PLLC Emergency Medicine CurrentSince Jun 1, 2022 Accepting new patients
Providence Health & Services - Washington Family Medicine CurrentSince May 10, 2023 Accepting new patients
Washington Emergency Physician Partners PLLC Emergency Medicine Current Accepting new patients
Kadlec Regional Medical Center CurrentSince Jun 20, 2022 Accepting new patients

Locations

3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

550 Gage Blvd
Ste 101
Richland, WA 99352

1135 Jadwin Ave
Richland, WA 99352
Phone (509) 942-3300

1480 Fowler St
Richland, WA 99352
Phone (509) 783-7416

1025 S 2nd Ave
Walla Walla, WA 99362
Phone (509) 525-0480

380 Chase Ave
Walla Walla, WA 99362
Phone (509) 526-3333

Interoperability endpoints

  • Direct secure messaging: bthomas2422130@wm.providencedirect.org

Organizations & group practices 8

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 3

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1750308359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 GAGE BLVD STE 101",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993529532",
            "telephone_number": "509-942-3627",
            "fax_number": "509-627-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4804 W CLEARWATER AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993362119",
            "telephone_number": "509-942-2355",
            "fax_number": "509-222-1289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box S",
            "address_purpose": "LOCATION",
            "city": "Kennewick",
            "state": "WA",
            "postal_code": "993360611",
            "country_code": "US",
            "telephone_number": "509-737-1492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "BRANDON",
        "middle_name": "T.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2023-06-06",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP00002209",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "OP00002209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

Verify at the official NPI Registry.