Active NPI
Brent Richard White, PT, LP, CP
- Prosthetist
- Webster, TX
National Provider Identifier
1104237189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- 1278
- Practice address
- 250 Blossom #200
Webster, TX 77598 - Phone
- (281) 316-5805
- Fax
- (281) 316-5970
- NPI assigned
- May 13, 2014
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | 1278 | TX | Primary |
| Physical Therapist | 225100000X | 1144657 | TX | |
| Geriatric Physical Therapist | 2251G0304X | 1144657 | ||
| Orthopedic Physical Therapist | 2251X0800X | 1144657 |
Addresses
Primary practice location
250 Blossom #200
Webster, TX 77598
Mailing address
250 Blossom #200
Webster, TX 77598
Phone (281) 316-5805
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1278 | TX | MD | Prosthetist |
| 1144657 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399939200000",
"number": "1104237189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 BLOSSOM #200",
"city": "WEBSTER",
"state": "TX",
"postal_code": "77598",
"telephone_number": "281-316-5805",
"fax_number": "281-316-5970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 BLOSSOM #200",
"city": "WEBSTER",
"state": "TX",
"postal_code": "77598",
"telephone_number": "281-316-5805",
"fax_number": "281-316-5970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "BRENT",
"middle_name": "RICHARD",
"name_prefix": "Mr.",
"credential": "PT, LP, CP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-13",
"last_updated": "2014-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "TX",
"license": "1278",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1144657",
"primary": false
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": null,
"license": "1144657",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": "1144657",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Webster, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.