Brock Barger, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1367148 Issued in TX

Practice address

4601 Hartford St
Abilene, TX 79605-4603

Phone

(325) 793-3537

Fax

(325) 793-3587

NPI assigned

Aug 31, 2022

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 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• The West Texas Rehabilitation Center

  • Rehabilitation Clinic/Center
  • Abilene, TX
  • NPI 1922112499

  Physical Therapist, TX

  Medicare reassignment NPD
• The West Texas Rehabilitation Center

  • Community Based Hospice Care Agency
  • San Angelo, TX
  • NPI 1063911618
  NPD

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1083334890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 HARTFORD ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796054603",
            "telephone_number": "325-793-3537",
            "fax_number": "325-793-3587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 HARTFORD ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796054603",
            "telephone_number": "325-793-3537",
            "fax_number": "325-793-3587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARGER",
        "first_name": "BROCK",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1367148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "1367148",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1367148",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanesha R Baldwin, FNP-C
• Jacquelynn Rene Ballard, MS, CCC/SLP
• Annie Bane, PHD
• Victoria Marie Banks, LPC
• Nadine Baptiste, MD
• Bradley Allen Barham, D.O.
• Lynn B Barlow II, MD
• Joel Aaron Barnard
• Rebecca Barnes, MS CCC - SLP
• Dawna Denise Barnett, M.A., CCC/SLP

• All providers in Abilene, TX
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.