Mercedes Brevig

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT21182968 Issued in TX

Practice address

432 Samuels Ave Apt 1207
Fort Worth, TX 76102-2480

Phone

(844) 729-2242

NPI assigned

Sep 16, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1326718735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4119 FOSSIL RIDGE DR",
            "city": "HALTOM CITY",
            "state": "TX",
            "postal_code": "761372603",
            "telephone_number": "817-965-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 SAMUELS AVE APT 1207",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761022480",
            "telephone_number": "844-729-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREVIG",
        "first_name": "MERCEDES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "RBT21182968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brentwood Stair Chiropractic
• Patricia Breslin, LMSW
• Robert Kloeb Bressler, MD
• Hannah Brestowski
• Brett L. Cochrum, MD, PA
• Angela M Brewer, CRNA
• Colton Brewer
• Curtis Brewer, DO
• Jenee Marie Brewer, RN
• Karin Kay Brewer, MSN, APRN, PMHNP

• Behavior Technician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Behavior Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.

Verify at the official NPI Registry.