Active NPI
Thomas Brent Strawn, M.D
- General Practice Physician
- Phoenix, AZ
National Provider Identifier
1750690335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 27620
- Practice address
- 9515 W Camelback Rd
Suite 106
Phoenix, AZ 85037 - Phone
- (623) 581-8346
- Fax
- (623) 581-8347
- NPI assigned
- Sep 30, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 27620 | AZ | |
| General Practice Physician | 208D00000X | 27620 | AZ | Primary |
Addresses
Primary practice location
9515 W Camelback Rd
Suite 106
Phoenix, AZ 85037
Mailing address
19420 N 59TH Ave
Suite B233
Glendale, AZ 85308-6894
Phone (623) 234-2542
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 273316090 | Other | AZ | TAX ID |
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": "1285804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602720000000",
"number": "1750690335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19420 N 59TH AVE",
"address_2": "SUITE B233",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853086894",
"telephone_number": "623-234-2542",
"fax_number": "623-234-2543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9515 W CAMELBACK RD",
"address_2": "SUITE 106",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85037",
"telephone_number": "623-581-8346",
"fax_number": "623-581-8347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRAWN",
"first_name": "THOMAS",
"middle_name": "BRENT",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-30",
"last_updated": "2020-10-15",
"certification_date": "2020-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AZ",
"license": "27620",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "AZ",
"license": "27620",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "273316090",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.