Brent Howard Corum, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

083668 Issued in IA

Practice address

540 E Jefferson St Ste 302
Iowa City, IA 52245-2460

Phone

(319) 339-3611

Fax

(319) 339-3878

NPI assigned

Feb 3, 2017

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Progressive Rehab Chiropractic, L.L.C.

  • Chiropractor
  • Tipton, IA
  • NPI 1467967919
  NPD (past)
• Progressive Rehabilitation Associates L.L.C.

  • Physical Therapist
  • Iowa City, IA
  • NPI 1851462865
  NPD (past)

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506988800000",
    "number": "1265970768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 TOWNCREST DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522406631",
            "telephone_number": "319-354-2429",
            "fax_number": "319-338-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 E JEFFERSON ST STE 302",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522452460",
            "telephone_number": "319-339-3611",
            "fax_number": "319-339-3878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1220 Jacolyn Dr SW",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "524041288",
            "country_code": "US",
            "telephone_number": "319-396-0222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORUM",
        "first_name": "BRENT",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-03",
        "last_updated": "2017-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "083668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06-65463",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlos Mario Corella, RMA
• Laura Correa Ferrer, MD
• Renata Correa Osorio, MD
• Marcelo Lima de Gusmao Correia, MD, MSC, PHD
• Corridor Kids Collective
• Claudia Lynn Corwin, M.D., MPH
• William H Coryell, MD
• Kylie Loretta Costello, ARNP
• Sarah Elizabeth Costello, MD
• Kelsey Ray Cota, BSRT CT

• Physical Therapist in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.