Duncan Bremner
Individual provider Active NPI Physical Therapist · Grand Junction, CO
NPI 1114258563 · NPPES record last updated Jan 26, 2010
Key facts
- NPI
- 1114258563
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5712 (CO)
- Practice address
- 2121 North Ave
Grand Junction, CO 81501-6428 - Phone
- (970) 263-5062
- NPI assigned
- Jan 26, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5712 | CO | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5712 | CO | Yes |
Addresses
Primary practice location
2121 North Ave
Grand Junction, CO 81501-6428
Mailing address
2121 North Ave
Grand Junction, CO 81501-6428
NPI Registry JSON
{
"created_epoch": "1264464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264464000000",
"number": "1114258563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 NORTH AVE",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815016428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 NORTH AVE",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815016428",
"telephone_number": "970-263-5062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREMNER",
"first_name": "DUNCAN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-01-26",
"last_updated": "2010-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "5712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Junction, CO
- Pamela Gail Brandstoettner
- Rachel Branson
- John S. Bratteli
- Joe Michael Bray
- Christy Lynn Breedlove
- Daniella Brengelmann
- Katherine Hollis Brennan
- Michael Thomas Brennan
- Taylor Ann Brennan
- Shiloh Brennecke
All providers in Grand Junction, CO · Physical Therapist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.