DR. THOMAS BRIAN WHALEN M.D. NPI 1366460990

NPI Information

NPI: 1366460990
Provider Name: DR. THOMAS BRIAN WHALEN, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
3703 SW 13TH ST
GAINESVILLE, FL
ZIP 32608
Phone: (352) 672-8023
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DR. Thomas Brian Whalen, M.D. is a general practice in Gainesville, FL. DR. Thomas Brian Whalen, M.D. NPI is 1366460990. 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:

3703 SW 13TH ST
GAINESVILLE, FL
ZIP 32608-507
Phone: (352) 672-8023

The NPI 1366460990 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 7/18/2006 and was last updated on 3/19/2015.

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
1	207L00000X	Anesthesiology		ME90007	FLORIDA	No
2	208D00000X	General Practice		ME90007	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	269502200	MEDICAID	FLORIDA
2	E04359	MEDICARE UPIN

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: 11/14/2023

NPI Synchronization or Removal

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