Brennen Howard Bettin, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT36978 Issued in FL

Practice address

101 E Florida Ave
Melbourne, FL 32901-8301

Phone

(760) 547-3031

NPI assigned

Feb 12, 2021

Last updated

Dec 6, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1154914984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "794 WHITE PINE AVE",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329558131",
            "telephone_number": "760-547-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E FLORIDA AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329018301",
            "telephone_number": "760-547-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETTIN",
        "first_name": "BRENNEN",
        "middle_name": "HOWARD",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-12",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT36978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Nicole Beshore
• Sandra Jean Bess, CRNA
• Brandi N Best, BCBA
• Natalie Ann Best, APRN, FNP-BC
• Wanda Louise Bethea
• Andrea Betting, L.C.S.W.
• Alison Marie Betz, PH.D., BCBA
• Beyond the Scope Orthopaedics and Sports Medicine
• Alicia Kiran Bezmen, PHARM. D
• Rajiv Bhambri, MD

• Physical Therapist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.