John Bradley Thurston, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

01024334A Issued in IN

Practice address

8330 Naab Rd
Suite 140
Indianapolis, IN 46260-5925

Phone

(317) 872-6760

Fax

(317) 879-4029

NPI assigned

Jun 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Indianapolis Plastic Surgeons PC

  • Plastic and Reconstructive Surgery Physician
  • Indianapolis, IN
  • NPI 1083836332
  Authorized official Same address or phone

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185148800000",
    "number": "1902842800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8330 NAAB RD",
            "address_2": "SUITE 140",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605925",
            "telephone_number": "317-872-6760",
            "fax_number": "317-879-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8330 NAAB RD",
            "address_2": "SUITE 140",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605925",
            "telephone_number": "317-872-6760",
            "fax_number": "317-879-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURSTON",
        "first_name": "JOHN",
        "middle_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "IN",
            "license": "01024334A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER #",
            "identifier": "4248019",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN #",
            "identifier": "000000083383",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raven Symone Thurman
• Amanda Lynnette Thurmon, LCSW
• Tiffany D Thurmon, LCSW
• Marisa Catherine Thurn, L.M.T.
• Jennifer Brooke Thurston, LCSW
• Virginia C. Thurston, PH.D.
• Ashima Thusu, MD
• Andrew Thyen, MD
• Rachael Thyen
• John Thygesen

• Plastic Surgery Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Plastic Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.