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NPI Code Detail

MEDICARE: DR. THOMAS A BRUMMER MD

MEDICARE: DR. THOMAS A BRUMMER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician01061898AIN
2207W00000XOphthalmology Physician036116693IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275582900
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS A BRUMMER MD
Provider Business Mailing Address
First Line : 6149 E COLUMBIA ST
Second Line :
City : EVANSVILLE
State : IN
Zip : 47715-9134
Country : US
Telephone Number : 812-424-2020
Fax Number : 812-424-3000
Provider Business Practice Location Address
First Line : 6149 E COLUMBIA ST
Second Line :
City : EVANSVILLE
State : IN
Zip : 47715-9134
Country : US
Telephone Number : 812-424-2020
Fax Number : 812-424-3000
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2006
Last Update Date : 09/08/2025

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Directions to “ DR. THOMAS A BRUMMER MD” Practice Location

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