DR. BRADLY JACKSON THRASHER D.O. NPI 1669765749

NPI Information

  • NPI: 1669765749
  • Provider Name: DR. BRADLY JACKSON THRASHER, D.O.
  • Classification: Pediatrics - 2080P0205X
  • Specialization: Pediatric Endocrinology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 411 E CHESTNUT ST # ST7
    LOUISVILLE, KY
    ZIP 40202
  • Phone: (502) 588-3400

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NPI Details

DR. Bradly Jackson Thrasher, D.O. is a pediatric endocrinology pediatrics in Louisville, KY with 15 years of experience. The provider is a pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. DR. Bradly Jackson Thrasher, D.O. NPI is 1669765749. 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:

411 E CHESTNUT ST # ST7
LOUISVILLE, KY
ZIP 40202-713
Phone: (502) 588-3400
Fax: (502) 588-3401

The NPI 1669765749 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 5/23/2011 and was last updated on 4/10/2020.

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
12080P0205XPediatricsPediatric Endocrinology04644KENTUCKYYes
22080P0205XPediatricsPediatric Endocrinology3162TENNESSEENo

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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