BRYON WESLEY THOMAS M.D. NPI 1497794010

NPI Information

  • NPI: 1497794010
  • Provider Name: BRYON WESLEY THOMAS, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 303 S MAIN ST
    SUITE 212
    MISHAWAKA, IN
    ZIP 46544
  • Phone: (574) 254-0800

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NPI Details

Bryon Wesley Thomas, M.D. is a family medicine in Mishawaka, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Bryon Wesley Thomas, M.D. NPI is 1497794010. 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:

303 S MAIN ST
SUITE 212
MISHAWAKA, IN
ZIP 46544-189
Phone: (574) 254-0800
Fax: (574) 254-0812

The enumeration date for this NPI number is 6/6/2006 and was last updated on 8/29/2012.

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
1207Q00000XFamily Medicine01052749INDIANAYes

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
1H20907MEDICARE UPININDIANA
2187670BMEDICARE PININDIANA
3200290600AMEDICAIDINDIANA
4080182109MEDICARE PININDIANA

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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