Thomas W Randles, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS4777 Issued in FL

Practice address

1606 Tennessee Ave
Lynn Haven, FL 32444-3653

Phone

(850) 265-3606

Fax

(850) 271-0400

NPI assigned

Aug 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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.

• Bernier Family Practice and Associates

  • Family Medicine Physician
  • Lynn Haven, FL
  • NPI 1093807802

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801902176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 TENNESSEE AVE",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324443653",
            "telephone_number": "850-265-3606",
            "fax_number": "850-271-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 TENNESSEE AVE",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324443653",
            "telephone_number": "850-265-3606",
            "fax_number": "850-271-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDLES",
        "first_name": "THOMAS",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS4777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primary Care Center of Lynn Haven
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• Stephanie L Rackley
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• Tina B Rebmann, LCSW
• Latronia Reed, LPN
• Reese Pediatric Physical Therapy, LLC
• Deborah Reese

• All providers in Lynn Haven, FL
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.