Healthcare Provider Details

I. General information

NPI: 1275441297
Provider Name (Legal Business Name): DR. BRETT ALLEN THOMPSON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 SPRING ST APT 1204
NEW BRUNSWICK NJ
08901-2281
US

IV. Provider business mailing address

1 SPRING ST APT 1204
NEW BRUNSWICK NJ
08901-2281
US

V. Phone/Fax

Practice location:
  • Phone: 917-940-3888
  • Fax:
Mailing address:
  • Phone: 917-940-3888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2026058588
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: