National Provider Identifier Database

BRENDA J THOMPSON, MEDICAL DOCTOR – NPI #1386658250
Adolescent Medicine

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.


Contact Information

BRENDA J THOMPSON, MEDICAL DOCTOR
1021 W 5TH AVE
GARY, IN46402-1703
Phone: 219-880-1190
Fax: 219-880-0784
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for BRENDA J THOMPSON

NPI Number 1386658250
Credentials MEDICAL DOCTOR
Entity Individual
Enumeration date 07/28/2006
Last updated 01/07/2013 - About 13 years ago
Sole proprietor1 No
Identifiers
  • IL License #: 036047737
  • IN License #: 01028053
  • IN Medicaid: 100167580A
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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