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THOMAS BRADFORD FETHERSTON MD
NPI 1710626759
Student in an Organized Health Care Education/Training Program in Tripler Army Medical Center, HI

Active since May 28, 2022PECOS Enrolled
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859(808) 433-2474 Get Directions Write a Review

NPPES record last updated: May 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Thomas Bradford Fetherston Md NPPES

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

THOMAS BRADFORD FETHERSTON MD (NPI 1710626759) is an individual student in an organized health care education/training program in Tripler Army Medical Center, Hawaii and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710626759
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTHOMAS BRADFORD FETHERSTONCredential: MD
Location Address1 JARRETT WHITE RDTripler Army Medical Center, HI 96859-5001
Mailing Address1 Jarrett White RdTripler Army Medical Center, HI 96859-5001
Phone(808) 433-2474
Sole ProprietorNo
Enumeration DateMay 28, 2022
NPPES CertifiedMay 28, 2022
✔ NPI 1710626759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1 JARRETT WHITE RD, Tripler Army Medical Center, HI 96859
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas Bradford Fetherston Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CORINNE REYES LCSW
Social Worker (Clinical)
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
Honolulu County (808) 433-8785
DANIEL HEILMANN DO
Pediatrics
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
Honolulu County (808) 433-6697
MR. ADRIAN SCOTT WORTHEN M.D.
Internal Medicine
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER
TRIPLER ARMY MEDICAL CENTER, HI 96859
Honolulu County (808) 433-4049
DR. JANE ELIZABETH MARSHALL OTD, OTR/L
Occupational Therapist
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859
Honolulu County (937) 231-3795
TINA WILSON DO
General Practice
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859
Honolulu County (210) 220-7961
MRS. LASHON SHEREMA WILLIAMS PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
Honolulu County (808) 433-8601
DR. NICHOLAS PATRICK MAHER DO
General Practice
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
Honolulu County (888) 683-2778
DR. KIMBERLY D DAVIS MD
Ophthalmology
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859
Honolulu County (808) 471-9998

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 Thomas Fetherston's NPI number?

The NPI number for Thomas Fetherston is 1710626759. It was assigned to this individual provider in the NPPES registry on May 28, 2022.

Where is Thomas Fetherston located?

Thomas Fetherston practices at 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859. The listed phone number is (808) 433-2474.

What is Thomas Fetherston's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Thomas Fetherston enrolled in Medicare?

Yes. Thomas Fetherston is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thomas Fetherston was last updated on May 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.