MR. BRIAN K THOMAS
NPI 1104654250
Nurse Anesthetist, Certified Registered in Shreveport, LA

Active since July 22, 2024Accepts Medicare Assignment
542 MOCKINGBIRD LN, SHREVEPORT, LA 71105(318) 840-2209 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 30, 2025, Jul 22, 2024 (2 updates tracked since 2024).

About Mr. Brian K Thomas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. BRIAN K THOMAS (NPI 1104654250) is an individual nurse anesthetist, certified registered in Shreveport, Louisiana, licensed in Louisiana (201131) and active in the NPI registry since July 2024. He is affiliated with Specialists Hospital Shreveport and is a graduate of Other (2025).

NPPES Registry Identity

NPI1104654250
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. BRIAN K THOMAS
Location Address542 MOCKINGBIRD LNShreveport, LA 71105-4322
Mailing Address542 Mockingbird LnShreveport, LA 71105-4322 · (318) 840-2209
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 22, 2024
Last NPPES UpdateDecember 30, 20252 updates tracked since enumeration
NPPES CertifiedDecember 30, 2025
NPI 1104654250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in LA · 201131
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 201131 (LA)
542 MOCKINGBIRD LN, Shreveport, LA 71105

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Brian K Thomas is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769965201
PECOS Enrollment IDI20260312001120

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Specialists Hospital Shreveport

Acute Care Hospitals · Shreveport, LA
OwnershipProprietary
CMS Certification Number190278
Location1500 Line AvenueShreveport, LA 71101 · Caddo County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Thomas's NPI number?

The NPI number for Brian Thomas is 1104654250. It was assigned to this individual provider in the NPPES registry on July 22, 2024.

Where is Brian Thomas located?

Brian Thomas practices at 542 Mockingbird Ln, Shreveport, LA 71105. The listed phone number is (318) 840-2209.

What is Brian Thomas's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Brian Thomas enrolled in Medicare?

Yes. Brian Thomas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Brian Thomas affiliated with any hospitals?

According to CMS data, Brian Thomas is affiliated with Specialists Hospital Shreveport.

When was this NPI record last updated?

The NPPES record for Brian Thomas was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.