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NPI Code Detail

MEDICARE: DR. JAMES BRIAN THORNBURG D.O.

MEDICARE:  DR. JAMES BRIAN THORNBURG  D.O.
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
1208000000XPediatrics PhysicianOS9029FL

General Provider Information

NPI Number : 1588702419
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES BRIAN THORNBURG D.O.
Provider Business Mailing Address
First Line : 5435 PARK CENTRAL CT
Second Line :
City : NAPLES
State : FL
Zip : 34109-6002
Country : US
Telephone Number : 239-348-7337
Fax Number : 239-348-7391
Provider Business Practice Location Address
First Line : 5435 PARK CENTRAL CT
Second Line :
City : NAPLES
State : FL
Zip : 34109-6002
Country : US
Telephone Number : 239-348-7337
Fax Number : 239-348-7391
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2007
Last Update Date : 12/16/2025

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Directions to “ DR. JAMES BRIAN THORNBURG D.O.” Practice Location

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