Active NPI
Robert Brammer, PH.D., LPC
- Professional Counselor
- Amarillo, TX
National Provider Identifier
1255407516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 14622
- Practice address
- 6900 W Interstate 40 Ste 190a
Amarillo, TX 79106-2525 - Phone
- (806) 676-2539
- NPI assigned
- Nov 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 14622 | TX | Primary |
Addresses
Primary practice location
6900 W Interstate 40 Ste 190a
Amarillo, TX 79106-2525
Mailing address
350 Meadow View Dr
Ellensburg, WA 98926-8211
Phone (509) 963-3629
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60054 | Other | TX | AETNA |
| BLUE CROSS | Other | TX | 3785 LC |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14622 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1255407516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 MEADOW VIEW DR",
"city": "ELLENSBURG",
"state": "WA",
"postal_code": "989268211",
"telephone_number": "509-963-3629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 W INTERSTATE 40 STE 190A",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791062525",
"telephone_number": "806-676-2539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAMMER",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "PH.D., LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "14622",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "60054",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "3785 LC",
"identifier": "BLUE CROSS",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.