Active NPI
Carter Brewster
- Athletic Trainer
- Fort Myers, FL
National Provider Identifier
1134855125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 6694
- Practice address
- 10501 Fgcu Blvd S
Fort Myers, FL 33965-6502 - Phone
- (239) 590-7095
- NPI assigned
- Aug 1, 2022
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 6694 | FL | Primary |
Addresses
Primary practice location
10501 Fgcu Blvd S
Fort Myers, FL 33965-6502
Mailing address
6800 S Audie Dr
Sioux Falls, SD 57108-3150
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 |
|---|---|---|---|
| 6694 | FL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659312000000",
"number": "1134855125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6800 S AUDIE DR",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571083150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10501 FGCU BLVD S",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339656502",
"telephone_number": "239-590-7095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWSTER",
"first_name": "CARTER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-01",
"last_updated": "2022-08-01",
"certification_date": "2022-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "6694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.