Individual provider Active NPI

Brian W Thompson, MD

  • Obstetrics & Gynecology Physician
  • Syracuse, NY
National Provider Identifier
1841264660
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
230734 Issued in NY
Practice address
725 Irving Ave
Suite 600
Syracuse, NY 13210-1603
Phone
(315) 464-5162
Fax
(315) 464-4613
NPI assigned
Feb 16, 2006
Last updated
Aug 22, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 230734 NY Primary

Addresses

Primary practice location

725 Irving Ave
Suite 600
Syracuse, NY 13210-1603

Mailing address

725 Irving Ave
Suite 600
Syracuse, NY 13210-1603
Phone (315) 464-5162

Other identifiers 1

IdentifierTypeStateIssuer
02512701MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040504000673 NY Practitioner - Obstetrics/Gynecology 9830187368 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
State University of Ny Upstate Medical University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Canton-Potsdam HospitalGroup PAC ID 6204827280, 243 clinicians
University OB/GYN AssociatesGroup PAC ID 9133117740, 36 clinicians

Practice addresses (Care Compare)

50 Leroy St
Potsdam, NY 13676-1786
Phone (315) 265-3300

725 Irving Ave
Suite 600
Syracuse, NY 13210-1688
Phone (315) 464-5162

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.06 of 100Reported as group
Quality
96.61
Promoting interoperability
100
Improvement activities
40
Cost
31.11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13183AZMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Canton-Potsdam Hospital CurrentSince Apr 17, 2024 Accepting new patients
University OB/GYN Associates Obstetrics & Gynecology CurrentSince Nov 5, 2012 Accepting new patients
Canton-Potsdam Hospital CurrentSince Apr 17, 2024 Accepting new patients
Upstate Community Medical, PC CurrentSince Feb 1, 2013 Accepting new patients
Upstate Urology, Inc. PastSince Sep 1, 2008 Accepting new patients
Crouse Health Hospital, Inc. Past Accepting new patients
Syracuse Women's Specialists, PLLC Obstetrics & Gynecology Past Accepting new patients
Edward John Noble Hospital of Gouverneur Ny Swing Bed Unit Past Accepting new patients
Edward John Noble Hospital of Gouverneur Ny Past Accepting new patients
Syracuse Community Health Center, Inc. Past Accepting new patients

Locations

77 W Barney St
Gouverneur, NY 13642
Phone (315) 287-1000

201 Market St
Ste E
Potsdam, NY 13676
Phone (315) 274-9102

50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034

1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488

251 Salina Meadows Pkwy
Ste 100
Syracuse, NY 13212
Phone (315) 464-2000

4900 Broad Rd
Ste 2I
Syracuse, NY 13215
Phone (315) 464-6106

4900 Broad Rd
Ste 4H
Syracuse, NY 13215
Phone (315) 492-5678

725 Irving Ave
Ste 600
Syracuse, NY 13210
Phone (315) 464-5162

Interoperability endpoints

  • Direct secure messaging: bthompson13801@direct.upstate.edu

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Syracuse Community HealthSyracuse, NY, CCN 331809 Federally qualified health center Corporate Director Jan 1, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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.

Hospital & facility affiliations 1

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": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377129600000",
    "number": "1841264660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 IRVING AVE",
            "address_2": "SUITE 600",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101603",
            "telephone_number": "315-464-5162",
            "fax_number": "315-464-4613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 IRVING AVE",
            "address_2": "SUITE 600",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101603",
            "telephone_number": "315-464-5162",
            "fax_number": "315-464-4613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "BRIAN",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2013-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "230734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02512701",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.