MR. BRENTON THOMAS NPI 1235893249

NPI Information

  • NPI: 1235893249
  • Provider Name: MR. BRENTON THOMAS
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1400 8TH AVE
    FORT WORTH, TX
    ZIP 76104
  • Phone: (817) 922-4650

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NPI Details

MR. Brenton Thomas is an acute care nurse practitioner in Fort Worth, TX with 5 years of experience. MR. Brenton Thomas NPI is 1235893249. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1400 8TH AVE
FORT WORTH, TX
ZIP 76104-110
Phone: (817) 922-4650
Fax: (817) 922-4655

The NPI 1235893249 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/26/2021 and was last updated on 5/11/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse908717TEXASNo
2363LA2100XNurse PractitionerAcute Care1077858TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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