Bryant Edward Spencer, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT3193 Issued in TX

Practice address

21650 Loop 494
New Caney, TX 77357-8240

Phone

(281) 577-2800

Fax

(281) 354-6813

NPI assigned

Mar 7, 2007

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215067368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27600 KINGS MANOR DR",
            "address_2": "APT# 1222",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392156",
            "telephone_number": "281-577-2800",
            "fax_number": "281-354-6813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21650 LOOP 494",
            "city": "NEW CANEY",
            "state": "TX",
            "postal_code": "773578240",
            "telephone_number": "281-577-2800",
            "fax_number": "281-354-6813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "BRYANT",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT3193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Smith, CRNP
• Amber Snyder, MA, CCC/SLP
• South Fork Management and Consulting LLC
• Southeast Texas Childrens Dentistry PLLC
• Speech & Language Launchpad PLLC
• Sneha Sreekumar
• Keli Noorda Stalder
• Kendra Stapleton
• Ashlin Stedifor
• Willean Stewart

• Athletic Trainer in New Caney, TX
• Providers in New Caney, TX by specialty
• Athletic Trainer in Texas

• 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.

Verify at the official NPI Registry.