What is Clifford Thacker's NPI number?

Clifford Thacker's National Provider Identifier (NPI) is 1396731857, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Clifford Thacker's specialty?

Clifford Thacker is listed in the NPPES registry with a primary specialty of Addiction Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).

Where is Clifford Thacker located?

Clifford Thacker's practice location on file with NPPES is 12550 New Brittany Blvd Ste 201, Fort Myers, FL 33907.

What is Clifford Thacker's phone number?

The practice phone number listed in the NPPES registry for Clifford Thacker is (239) 343-9190.

Is Clifford Thacker's NPI active?

Yes — Clifford Thacker's NPI (1396731857) is active in the NPPES registry as of the last update on 2022-07-21.

IndividualActive

Clifford Thacker, MD

NPI 1396731857 · Addiction Medicine (Family Medicine) Physician · Fort Myers, FL

Clifford Thacker, MD is a Addiction Medicine (Family Medicine) Physician provider in Fort Myers, FL (NPI 1396731857).

Provider details

NPI number: 1396731857
Entity type: Individual
Primary specialty: Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Male
Sole proprietor: No
License: ME70754 (FL)

Specialties & taxonomies

Addiction Medicine (Family Medicine) PhysicianPrimary207QA0401XLicense ME70754 (FL)
Allopathic & Osteopathic Physicians
Family Medicine Physician207Q00000XLicense ME70754 (FL)
Allopathic & Osteopathic Physicians
Obstetrics & Gynecology Physician207V00000XLicense ME0070754 (FL)
Allopathic & Osteopathic Physicians
Psychiatry Physician2084P0800XLicense ME70754 (FL)
Allopathic & Osteopathic Physicians

Profile Score

Detailed profile(100/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
20 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
3 documented practice locations

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

12550 New Brittany Blvd Ste 201

Fort Myers, FL 33907

Phone: (239) 343-9190

Fax: (239) 343-9193

Street-level locationGet directions

More FL providers

Mailing address

Po Box 2147

Fort Myers, FL 33902-2147

Additional practice locations (2)

9818 Old Hyde Park Pl
Bradenton, FL 34202-4091
Phone: (941) 556-9337
12550 New Brittany Blvd Ste 201
Fort Myers, FL 33907
Phone: (239) 343-9190
Fax: (239) 343-9193

Enumerated: 2005-09-21
Last updated: 2022-07-21
Certified: 2020-10-27

Frequently asked questions

What is Clifford Thacker's NPI number?: Clifford Thacker's National Provider Identifier (NPI) is 1396731857, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Clifford Thacker's specialty?: Clifford Thacker is listed in the NPPES registry with a primary specialty of Addiction Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
Where is Clifford Thacker located?: Clifford Thacker's practice location on file with NPPES is 12550 New Brittany Blvd Ste 201, Fort Myers, FL 33907.
What is Clifford Thacker's phone number?: The practice phone number listed in the NPPES registry for Clifford Thacker is (239) 343-9190.
Is Clifford Thacker's NPI active?: Yes — Clifford Thacker's NPI (1396731857) is active in the NPPES registry as of the last update on 2022-07-21.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.