Active NPI
Brett Bradford, PT
- Physical Therapist
- Brewer, ME
National Provider Identifier
1053837997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT4952
- Practice address
- 277 State St
Brewer, ME 04412 - Phone
- (207) 922-4900
- NPI assigned
- Aug 22, 2017
- Last updated
- Aug 22, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT4952 | ME | Primary |
Addresses
Primary practice location
277 State St
Brewer, ME 04412
Mailing address
277 State St
Brewer, ME 04412
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT4952 | ME | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503360000000",
"number": "1053837997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "277 STATE ST",
"city": "BREWER",
"state": "ME",
"postal_code": "04412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "277 STATE ST",
"city": "BREWER",
"state": "ME",
"postal_code": "04412",
"telephone_number": "207-922-4900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADFORD",
"first_name": "BRETT",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-22",
"last_updated": "2017-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT4952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brewer, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.