Individual provider Active NPI

Thomas Brent Strawn, M.D

  • General Practice Physician
  • Phoenix, AZ
National Provider Identifier
1750690335
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
27620 Issued in AZ
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

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
273316090OtherAZTAX 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.

Verify at the official NPI Registry.