Provider Demographics
NPI:1841271574
Name:NEUMANN, THOMAS ROBERT (MD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:ROBERT
Last Name:NEUMANN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:THOMAS
Other - Middle Name:ROBERT
Other - Last Name:NEUMANN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, PA
Mailing Address - Street 1:308 N GARDEN TER
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-5421
Mailing Address - Country:US
Mailing Address - Phone:806-438-4286
Mailing Address - Fax:806-375-5035
Practice Address - Street 1:308 N GARDEN TER
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-5421
Practice Address - Country:US
Practice Address - Phone:806-438-4286
Practice Address - Fax:806-375-5035
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM94-3432085R0001X
TXF69952085R0001X
WA000290752085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX120318100OtherFIRSTCARE
NMP00603241OtherRAILROAD MEDICARE
TX8BS050OtherBCBS TX
NMNM024796OtherBCBS-NM
NM000Z4513Medicaid
TX1257735Medicaid
TX920006870OtherRAILROAD MEDICARE
TX1257735Medicaid
NM341413908Medicare PIN
TX8F8882Medicare PIN