Active NPI
Thomas C Brecht, PHD
- Psychologist
- Cullman, AL
National Provider Identifier
1093760464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 322
- Practice address
- 101 2ND Ave SE
Cullman, AL 35055 - Phone
- (256) 739-4910
- Fax
- (256) 739-9455
- NPI assigned
- May 24, 2006
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 322 | AL | Primary |
Addresses
Primary practice location
101 2ND Ave SE
Cullman, AL 35055
Mailing address
503 Clark St NE
Cullman, AL 35055-1921
Phone (256) 739-0801
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000070757 | Medicaid | AL | |
| 70757 | Other | AL | BCBS |
| E869 | Other | AL | MDCR REASSIGMENT |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 322 | AL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539129600000",
"number": "1093760464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 CLARK ST NE",
"city": "CULLMAN",
"state": "AL",
"postal_code": "350551921",
"telephone_number": "256-739-0801",
"fax_number": "256-739-0027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 2ND AVE SE",
"city": "CULLMAN",
"state": "AL",
"postal_code": "35055",
"telephone_number": "256-739-4910",
"fax_number": "256-739-9455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRECHT",
"first_name": "THOMAS",
"middle_name": "C",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2018-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AL",
"license": "322",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000070757",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "70757",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDCR REASSIGMENT",
"identifier": "E869",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cullman, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.