Active NPI
Edward Thompson, M.D.
- Family Medicine Physician
- Brunswick, MD
National Provider Identifier
1821042748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D29262
- Practice address
- 610 9TH Ave
Brunswick, MD 21716-1828 - Phone
- (301) 834-7188
- Fax
- (301) 834-7889
- NPI assigned
- May 22, 2006
- Last updated
- Nov 1, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | D0029262 | MD | |
| Family Medicine Physician | 207Q00000X | D29262 | MD | Primary |
Addresses
Primary practice location
610 9TH Ave
Brunswick, MD 21716-1828
Mailing address
1434 Porter St
Frederick, MD 21702-9254
Phone (301) 619-2206
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D29262 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physician Associates, PA | Past | Accepting new patients | |
| Washington County Emergency Medicine Physicians, LLC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Care Clinic/Center
- Frederick, MD
- NPI 1134119688
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Emergency Care Clinic/Center
- Hagerstown, MD
- NPI 1205826724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477958400000",
"number": "1821042748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1434 PORTER ST",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217029254",
"telephone_number": "301-619-2206",
"fax_number": "301-619-4989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 9TH AVE",
"city": "BRUNSWICK",
"state": "MD",
"postal_code": "217161828",
"telephone_number": "301-834-7188",
"fax_number": "301-834-7889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-22",
"last_updated": "2016-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MD",
"license": "D0029262",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D29262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.