Active NPI
Bryan K Brozy, PT, DPT
- Physical Therapist
- Jacksonville, FL
National Provider Identifier
1215535877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT35906
- Practice address
- 3716 University Blvd S Ste 4
Jacksonville, FL 32216-4318 - Phone
- (904) 733-8133
- NPI assigned
- Oct 15, 2020
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT35906 | FL | Primary |
Addresses
Primary practice location
3716 University Blvd S Ste 4
Jacksonville, FL 32216-4318
Mailing address
13720 Old Saint Augustine Rd Ste 8-118
Jacksonville, FL 32258-7414
Phone (336) 813-2396
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT35906 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B.Well Physical Therapy & Wellness P.a. | Physical Therapist | Current | Accepting new patients |
| CPT of Jacksonville Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Jacksonville, FL
- NPI 1154160836
-
- Physical Therapy Clinic/Center
- Jacksonville, FL
- NPI 1326035924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602720000000",
"number": "1215535877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13720 OLD SAINT AUGUSTINE RD STE 8-118",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322587414",
"telephone_number": "336-813-2396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3716 UNIVERSITY BLVD S STE 4",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164318",
"telephone_number": "904-733-8133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROZY",
"first_name": "BRYAN",
"middle_name": "K",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-15",
"last_updated": "2020-10-15",
"certification_date": "2020-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT35906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.