Thomas Joseph Brouse, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MT234745 Issued in PA

Practice address

166 Hanover St Ste 200
Wilkes Barre, PA 18702-3544

Phone

(570) 808-5674

Fax

(570) 808-8785

NPI assigned

May 14, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1747180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1851182414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 HANOVER ST STE 200",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187023544",
            "telephone_number": "570-808-5674",
            "fax_number": "570-808-8785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 HANOVER ST STE 200",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187023544",
            "telephone_number": "570-808-5674",
            "fax_number": "570-808-8785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUSE",
        "first_name": "THOMAS",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT234745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talia Brogna, CNM
• Paul Brojack
• Nicole Brojakowski
• Cassandra Lynn Broomell, PA-C
• Shane Bross
• Kaitlyn Emily Brown, CPNP-PC
• Lindsay Marie Brown, PHARM.D.
• Sara Elizabeth Brown, CTRS
• Sarah Ann Brown, CRNP
• Cynthia Danielle Browne, CRNP

• Family Medicine Physician in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.