Active NPI
Brian Loux, CLINICAL EP
- Clinical Exercise Physiologist
- La Plata, MD
National Provider Identifier
1295325181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Exercise Physiologist
- Practice address
- 5 Garrett Ave
La Plata, MD 20646-5960 - Phone
- (301) 609-4391
- NPI assigned
- Jan 25, 2021
- 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 |
|---|---|---|---|---|
| Clinical Exercise Physiologist | 224Y00000X | Primary |
Addresses
Primary practice location
5 Garrett Ave
La Plata, MD 20646-5960
Mailing address
PO Box 1070
La Plata, MD 20646-1070
Phone (301) 609-4391
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.umm.edu | Direct | Civista Medical Center Inc |
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": "1611532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611532800000",
"number": "1295325181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1070",
"city": "LA PLATA",
"state": "MD",
"postal_code": "206461070",
"telephone_number": "301-609-4391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 GARRETT AVE",
"city": "LA PLATA",
"state": "MD",
"postal_code": "206465960",
"telephone_number": "301-609-4391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOUX",
"first_name": "BRIAN",
"credential": "CLINICAL EP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-01-25",
"last_updated": "2021-01-25",
"certification_date": "2021-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "224Y00000X",
"taxonomy_group": "",
"desc": "Clinical Exercise Physiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.umm.edu",
"affiliation": "Y",
"affiliationName": "Civista Medical Center Inc",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "5 Garrett Ave",
"city": "LA Plata",
"state": "MD",
"country_code": "US",
"postal_code": "206465960",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in La Plata, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.