Active NPI
Brent Brittain, RPT
- Physical Medicine & Rehabilitation Physician
- Hutchinson, KS
National Provider Identifier
1386658565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 1101688
- Practice address
- 1818 E 23Rd Ave
Hutchinson, KS 67502-1106 - Phone
- (620) 662-6000
- Fax
- (620) 669-2394
- NPI assigned
- Jul 27, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 1101688 | KS | Primary |
Addresses
Primary practice location
1818 E 23Rd Ave
Hutchinson, KS 67502-1106
Mailing address
1818 E 23Rd Ave
Hutchinson, KS 67502-1106
Phone (620) 662-6000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 062054 | Other | KS | DMERC |
| 062054 | Other | KS | BCBS PROVIDER NO. |
| P00152986 | Other | KS | RR MEDICARE PROV. NO. |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1101688 | KS | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386658565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1818 E 23RD AVE",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675021106",
"telephone_number": "620-662-6000",
"fax_number": "620-669-2394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1818 E 23RD AVE",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675021106",
"telephone_number": "620-662-6000",
"fax_number": "620-669-2394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRITTAIN",
"first_name": "BRENT",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "KS",
"license": "1101688",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "062054",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NO.",
"identifier": "062054",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PROV. NO.",
"identifier": "P00152986",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hutchinson, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.