Dr. Bradley Glynn Thomas
Vascular Surgeon
4003 Kresge Way Ste 300
Louisville
, Kentucky 40207-4652
Dr. Bradley Glynn Thomas
Vascular Surgeon
4003 Kresge Way Ste 300
Louisville
, Kentucky 40207-4652
(502) 896-6218
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Bradley Glynn Thomas
- 4003 Kresge Way Ste 300
- Louisville, KY
- Zip : 40207-4652
- Fax : (502) 896-6218
- Phone : (502) 897-5139
Second Address
- Dr. Bradley Glynn Thomas
- 4003 Kresge Way Ste 300
- Louisville, KY
- Zip : 40207-4652
- Fax : (502) 896-6218
- Phone : (502) 897-5139
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | 42724 | KY |
National Provider Identifier
| NPI | 1104933720 |
|---|---|
| Provider Name | Dr. Bradley Glynn Thomas |
| First Address | Louisville, KY 40207-4652 |
| Second Address | Louisville, KY 40207-4652 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/08/2006 |
| Last Update Date | 07/02/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01062396A | STATE LICENSE (01) | IN |
| 42724 | STATE LICENSE (01) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.