Dr. Bradley Glynn Thomas, MD
in Louisville, KY. Individual provider (NPI-1).
NPI number1104933720
StatusActive
Last updated in NPPESMar 1, 2024
Details
- NPI
- 1104933720
- Entity type
- Individual (NPI-1)
- Name
- Dr. Bradley Glynn Thomas
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 23, 2006
- Certification date
- Mar 1, 2024
- Last updated
- Mar 1, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - VASCULAR SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0129X | 42724 | KY | Yes |
Practice location
4003 Kresge Way Ste 300Louisville, KY 40207-4652
Phone 502-897-5139 · Fax 502-896-6218
Mailing address
5200 Commerce Crossings Dr Fl 3Louisville, KY 40229-2182
Phone 022-534-9245 · Fax 502-489-5750
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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