Active NPI
Brian Mark Thomas, DO, PHARMD
- Urology Physician
- Wynnewood, PA
National Provider Identifier
1851836134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- OS026187
- Practice address
- 100 E Lancaster Ave
Wynnewood, PA 19096-3450 - Phone
- (484) 476-2000
- NPI assigned
- Dec 22, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | OS026187 | PA | Primary |
| Pharmacotherapy Pharmacist | 1835P1200X | 28RI03711400 | NJ | |
| Urology Physician | 208800000X | OT022383 | PA | |
| Urology Physician | 208800000X | 25MB13210400 | NJ |
Addresses
Primary practice location
100 E Lancaster Ave
Wynnewood, PA 19096-3450
Mailing address
1 Cynwyd Rd Apt 315
Bala Cynwyd, PA 19004-3323
Phone (973) 954-0511
Other practice location 1
3200 Canyon Lake Dr
Rapid City, SD 57702-8114
Phone (605) 355-2211
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251205003542 | PA | Order and Referring Only - Urology | 8325531494 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03711400 | NJ | MD | Pharmacotherapy Pharmacist |
| OT022383 | PA | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783382400000",
"number": "1851836134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CYNWYD RD APT 315",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190043323",
"telephone_number": "973-954-0511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E LANCASTER AVE",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190963450",
"telephone_number": "484-476-2000"
}
],
"practiceLocations": [
{
"address_1": "3200 Canyon Lake Dr",
"address_purpose": "LOCATION",
"city": "Rapid City",
"state": "SD",
"postal_code": "577028114",
"country_code": "US",
"telephone_number": "605-355-2211",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "BRIAN",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "DO, PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-12-22",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "PA",
"license": "OS026187",
"primary": true
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "NJ",
"license": "28RI03711400",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "PA",
"license": "OT022383",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NJ",
"license": "25MB13210400",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wynnewood, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.