Brett Oliver Leblanc, ATP

Primary specialty

Other TechnicianTaxonomy code 247200000X

License

96757 Issued in TX

Practice address

2111 FM 1960 Rd E
Humble, TX 77338-5229

Phone

(832) 419-3261

NPI assigned

Dec 28, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1104695402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20615 WHITE BERRY CT",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773461340",
            "telephone_number": "832-419-3261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 FM 1960 RD E",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773385229",
            "telephone_number": "832-419-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "BRETT",
        "middle_name": "OLIVER",
        "credential": "ATP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-28",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "TX",
            "license": "96757",
            "primary": true
        },
        {
            "code": "225CA2500X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor, Assistive Technology Supplier",
            "state": "TX",
            "license": "96757",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Edward Le, O.D.
• Nhi Ngoc Le, MD
• Nancy Leal, SLP-ASSISTANT
• Leana Bradford
• Brittany Jean Leatherwood, PA
• David Glen Leblanc, RPH
• Nathalie Lebrun, M.A., CCC-SLP
• Patricia N Lechthaler, DDS
• Leondra J Ledet
• Lee R Colosimo MD PA

• Other Technician in Humble, TX
• Providers in Humble, TX by specialty
• Other Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.