Thomas E Bisom, RRT, RRT-ACCS, BSRC

Primary specialty

Critical Care Registered Respiratory TherapistTaxonomy code 2279C0205X

License

155959 Issued in WV

Practice address

2500 Hospital Dr
Martinsburg, WV 25401-3402

Phone

(304) 264-1000

NPI assigned

Jul 2, 2020

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 2, 2020.

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1962029116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 HOSPITAL DR",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254013402",
            "telephone_number": "304-264-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HOSPITAL DR",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254013402",
            "telephone_number": "304-264-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISOM",
        "first_name": "THOMAS",
        "middle_name": "E",
        "credential": "RRT, RRT-ACCS, BSRC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-02",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279C0205X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Critical Care",
            "state": "WV",
            "license": "155959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bio-Medical Applications of West Virginia, Inc.
• Bio-Medical Applications of West Virginia, Inc.
• Kevin Bird, M.D.
• Birthroot Midwifery LLC
• Vicki Sue Bishop
• Shirley Black
• Thomas Short Black, SLP
• Lynne Blackshear, REGISTERED NURSE
• Evadney Victoria Blackwood
• Judy Ann Blaha

• All providers in Martinsburg, WV
• Critical Care Registered Respiratory Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; 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.