Active NPI
Bradley Ray Zirkel, OTR
- Occupational Therapist
- Kerrville, TX
National Provider Identifier
1174623755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 111143
- Practice address
- 710 Water St
Kerrville, TX 78028-5329 - Phone
- (830) 258-7442
- NPI assigned
- Sep 24, 2006
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 111143 | TX | Primary |
Addresses
Primary practice location
710 Water St
Kerrville, TX 78028-5329
Mailing address
14413 State Highway 16 N
Medina, TX 78055-3562
Phone (830) 589-7519
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 |
|---|---|---|---|
| 111143 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174623755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14413 STATE HIGHWAY 16 N",
"city": "MEDINA",
"state": "TX",
"postal_code": "780553562",
"telephone_number": "830-589-7519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 WATER ST",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780285329",
"telephone_number": "830-258-7442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIRKEL",
"first_name": "BRADLEY",
"middle_name": "RAY",
"name_prefix": "Mr.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "111143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kerrville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.