Individual provider Active NPI

Branwyn L Bregler

  • Assistant Behavior Analyst
  • Saint Petersburg, FL
National Provider Identifier
1205375359
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
Practice address
2552 1St Ave N
Saint Petersburg, FL 33713-8702
Phone
(727) 545-1273
Fax
(800) 713-8330
NPI assigned
Feb 21, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X FL Primary

Addresses

Primary practice location

2552 1St Ave N
Saint Petersburg, FL 33713-8702

Mailing address

4738 W Cherokee Rd
Tampa, FL 33629-8206
Phone (813) 767-1195

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

NPI Registry JSON

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1205375359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4738 W CHEROKEE RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336298206",
            "telephone_number": "813-767-1195",
            "fax_number": "800-713-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2552 1ST AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337138702",
            "telephone_number": "727-545-1273",
            "fax_number": "800-713-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREGLER",
        "first_name": "BRANWYN",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.