Healthcare Provider Details

I. General information

NPI: 1417926221
Provider Name (Legal Business Name): JULIAN M. THOMAS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2006
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

549 E BRAMBLETON AVE
NORFOLK VA
23510-2905
US

IV. Provider business mailing address

PO BOX 68
POLLOCKSVILLE NC
28573-0068
US

V. Phone/Fax

Practice location:
  • Phone: 757-533-9441
  • Fax:
Mailing address:
  • Phone: 252-808-0145
  • Fax: 252-808-2770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number2010-00781
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: