Individual provider Active NPI

Carlos R Cuellar Brown, MT-BC

  • Contractor
  • Bradenton, FL
National Provider Identifier
1023848181
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Practice address
425 30TH Ave W Apt C210
Bradenton, FL 34205-8032
Phone
(917) 291-4435
Fax
(941) 328-8112
NPI assigned
Aug 5, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Music TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225A00000X 09137 FL
Contractor 171W00000X Primary

Addresses

Primary practice location

425 30TH Ave W Apt C210
Bradenton, FL 34205-8032

Mailing address

425 30TH Ave W Apt C210
Bradenton, FL 34205-8032
Phone (917) 291-4435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
09137FLMDMusic Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1023848181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 30TH AVE W APT C210",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058032",
            "telephone_number": "917-291-4435",
            "fax_number": "941-328-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 30TH AVE W APT C210",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058032",
            "telephone_number": "917-291-4435",
            "fax_number": "941-328-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUELLAR BROWN",
        "first_name": "CARLOS",
        "middle_name": "R",
        "credential": "MT-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-05",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Music Therapist",
            "state": "FL",
            "license": "09137",
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.