Active NPI
Chase Bruton
- Assistive Technology Practitioner Rehabilitation Counselor
- San Angelo, TX
National Provider Identifier
1144596297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistive Technology Practitioner Rehabilitation Counselor
- License
- ATP50901
- Practice address
- 1629 Wyoming Ave
San Angelo, TX 76904-7152 - Phone
- (325) 212-0170
- NPI assigned
- Mar 22, 2012
- 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 |
|---|---|---|---|---|
| Assistive Technology Practitioner Rehabilitation Counselor | 225CA2400X | ATP50901 | TX | Primary |
Addresses
Primary practice location
1629 Wyoming Ave
San Angelo, TX 76904-7152
Mailing address
1629 Wyoming Ave
San Angelo, TX 76904-7152
Phone (325) 212-0170
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50901 | Medicaid | TX |
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 |
|---|---|---|---|
| ATP50901 | TX | MD | Assistive Technology Practitioner Rehabilitation Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332374400000",
"number": "1144596297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1629 WYOMING AVE",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769047152",
"telephone_number": "325-212-0170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1629 WYOMING AVE",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769047152",
"telephone_number": "325-212-0170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUTON",
"first_name": "CHASE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-22",
"last_updated": "2012-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "225CA2400X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor, Assistive Technology Practitioner",
"state": "TX",
"license": "ATP50901",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "50901",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Angelo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.