NPIMap

Individual provider Active NPI

Michelle Bradley Thompson, D.O.

  • Gastroenterology Physician
  • Olympia, WA
National Provider Identifier
1851684765
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
OP60726268 Issued in WA
Practice address
406 Black Hills LN SW
Ste a
Olympia, WA 98502-8144
Phone
(360) 754-1735
NPI assigned
May 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP10041324 TX
Gastroenterology Physician 207RG0100X OP60726268 WA Primary

Addresses

Primary practice location

406 Black Hills LN SW
Ste a
Olympia, WA 98502-8144

Mailing address

406 Black Hills LN SW
Ste a
Olympia, WA 98502-8144
Phone (206) 465-5068

Other practice location 1

2401 S 31st St
Temple, TX 76508-0001
Phone (254) 724-2111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170601000338 WA Practitioner - GastroenterologyPractitioner - Internal Medicine 3173805389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Arizona College of Osteopathic Medicine Mid Western University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olympia Multi Specialty ClinicGroup PAC ID 4789571092, 21 clinicians

Practice addresses (Care Compare)

406 Black Hills LN SW
Suite a
Olympia, WA 98502-8144
Phone (360) 754-1727

Hospital & facility affiliations

  • Capital Medical Center Hospital, Olympia, WA, CCN 500139
  • Providence Centralia Hospital Hospital, Centralia, WA, CCN 500019
  • Providence St Peter Hospital Hospital, Olympia, WA, CCN 500024
  • Mason General Hospital & Family of Clinics Hospital, Shelton, WA, CCN 501336
  • Grays Harbor Community Hospital Hospital, Aberdeen, WA, CCN 500031

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy146
Upper gastrointestinal (GI) endoscopy for acid reflux157

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10041324TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Olympia Multi Specialty Clinic CurrentSince Jul 15, 2017 Accepting new patients

Locations

406 Black Hills Ln SW
Ste A
Olympia, WA 98502
Phone (360) 754-1727

Organizations & group practices 1

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.

Hospital & facility affiliations 10

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": "1306281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1851684765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 BLACK HILLS LN SW",
            "address_2": "STE A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028144",
            "telephone_number": "206-465-5068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 BLACK HILLS LN SW",
            "address_2": "STE A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028144",
            "telephone_number": "360-754-1735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 S 31st St",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765080001",
            "country_code": "US",
            "telephone_number": "254-724-2111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MICHELLE",
        "middle_name": "BRADLEY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-25",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10041324",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WA",
            "license": "OP60726268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.