Brad McEwen

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4986 Issued in NM

Practice address

910 W Pierce St Apt 94
Carlsbad, NM 88220-5246

Phone

(903) 724-4949

NPI assigned

Dec 14, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Reneau Rehab IncGroup PAC ID 2365527645, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Reneau Rehab Inc

  • Physical Therapist
  • Wichita Falls, TX
  • NPI 1568510857
  Medicare reassignment Care Compare group NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Georgetown, TX
  • NPI 1952531154
  Medicare reassignment NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Independence, MO
  • NPI 1871072462
  NPD
• Reneau Rehab Inc

  • Physical Therapist
  • Jenks, OK
  • NPI 1134835309
  NPD

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

{
    "created_epoch": "1513209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513209600000",
    "number": "1073029922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 W PIERCE ST APT 94",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882205246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 W PIERCE ST APT 94",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882205246",
            "telephone_number": "903-724-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCEWEN",
        "first_name": "BRAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-14",
        "last_updated": "2017-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "4986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "4986",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kali McAlister
• Monique McCardle, PTA
• Jo Ann McCauley
• William T McCauley, DDS
• Andrew Scott McDonald, PSR INSTRUCTOR
• Kyleigh Morgan McGilvray
• Tobyn J McNew, R.PH
• Glynda C McWhorter
• Steve Daniel Meagher, LISW
• Medical Imaging of Carlsbad PA

• Physical Therapist in Carlsbad, NM
• Providers in Carlsbad, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.