Dr. Brenton David Thrasher
Internist - Addiction Medicine
811 S J St
Lake Worth
, Florida 33460-5043
Dr. Brenton David Thrasher
Internist - Addiction Medicine
811 S J St
Lake Worth
, Florida 33460-5043
(561) 200-9944
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About
Features
Specialties
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Brenton David Thrasher
- 811 S J St
- Lake Worth, FL
- Zip : 33460-5043
- Fax : (561) 200-9944
- Phone : (561) 200-9944
Second Address
- Dr. Brenton David Thrasher
- 811 S J St
- Lake Worth, FL
- Zip : 33460-5043
- Fax : (561) 200-9944
- Phone : (561) 200-9944
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Is Dr. Brenton David Thrasher a sole practitioner?
Is Dr. Brenton David Thrasher accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RA0401X | Internist - Addiction Medicine | ME77922 | FL |
National Provider Identifier
| NPI | 1003975954 |
|---|---|
| Provider Name | Dr. Brenton David Thrasher |
| First Address | Lake Worth, FL 33460-5043 |
| Second Address | Lake Worth, FL 33460-5043 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/12/2006 |
| Last Update Date | 14/08/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1275846800 | GROUP NPI (01) | |
| 46787Y | MEDICARE PTAN (01) | FL |
| G99361 | (02) | FL |
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.