MEDICARE: DR. BRIAN THOMASON D.C.

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
1	111N00000X	Chiropractor	24234	CA

General Provider Information

NPI Number	:	1538462833
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIAN THOMASON D.C.

Provider Business Mailing Address
First Line	:	5214 KELLER RIDGE DR
Second Line	:
City	:	CLAYTON
State	:	CA
Zip	:	94517-2039
Country	:	US
Telephone Number	:	925-222-0491
Fax Number	:

Provider Business Practice Location Address
First Line	:	1850 TICE VALLEY BLVD
Second Line	:
City	:	WALNUT CREEK
State	:	CA
Zip	:	94595-2224
Country	:	US
Telephone Number	:	925-310-7836
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2010
Last Update Date	:	04/14/2021

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