Martin Brea, MA ATC LAT

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

RT000246A Issued in PA

Practice address

155 Wilson Ave
Washington, PA 15301-3336

Phone

(724) 223-3262

NPI assigned

Dec 20, 2014

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)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1419033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419033600000",
    "number": "1306244595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 WILSON AVE",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153013336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 WILSON AVE",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153013336",
            "telephone_number": "724-223-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREA",
        "first_name": "MARTIN",
        "credential": "MA ATC LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-20",
        "last_updated": "2014-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PA",
            "license": "RT000246A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED ATHLETIC TRAINER",
            "identifier": "812335",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Michael Bradley, DPT
• Jena Lauren Bradley, PT, DPT
• Tara Lynn Braithwaite, DO
• Christina Diana Brandt, MSW
• Carol R Brandtonies, CRNA
• Connie Bredniak, NP
• Catheri J. Brennan, CATHERINE J. BRENNAN
• Brenneman Chiropractic PC (Crossroads Chiropractic Clinic)
• Glenn A Brenneman Jr., DC
• Samuel Brenneman

• General Acute Care Hospital in Washington, PA
• Providers in Washington, PA by specialty
• General Acute Care Hospital in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2014; 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.