Brandon Lee Brokeshoulder, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5453 Issued in AR

Practice address

117 Piper St Ste C
Hot Springs, AR 71901-8263

Phone

(501) 463-9057

Fax

(866) 632-2934

NPI assigned

May 9, 2024

Last updated

Aug 8, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in AR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Genuicare IncGroup PAC ID 5799112256, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Genuicare Inc

  dba Elevation Physical Therapy

  • Physical Therapy Clinic/Center
  • Hot Springs, AR
  • NPI 1134669799

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Spa City Therapy Inc

  • Physical Therapy Clinic/Center
  • Hot Springs, AR
  • NPI 1265532543

  Physical Therapist

  Medicare reassignment NPD
• Tri-Lakes Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Hot Springs, AR
  • NPI 1346336245
  Medicare reassignment NPD
• Spa City Therapy, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Hot Springs, AR
  • NPI 1962861054
  NPD

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

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1174371587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 PIPER ST STE C",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719018263",
            "telephone_number": "501-463-9057",
            "fax_number": "866-632-2934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 PIPER ST STE C",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719018263",
            "telephone_number": "501-463-9057",
            "fax_number": "866-632-2934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROKESHOULDER",
        "first_name": "BRANDON",
        "middle_name": "LEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "5453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Bright, MHPP
• Madeleine Bright
• Michael Kelley Brinson, D.O.
• Amy Brito
• Lorra Britt
• Brookfield Physical Rehabilitation, LLC
• Bobbie A. Brooks, LMSW
• Emily Brooks
• Susan E Brooks, LCSW
• Ashley Lauren Brown, LPE

• Physical Therapist in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.