Kent Harold Brizendine, M.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT22612 Issued in CA

Practice address

5360 Jackson Dr
Suite 116
La Mesa, CA 91942-6002

Phone

(619) 469-1691

Fax

(619) 469-1079

NPI assigned

Feb 12, 2007

Sex

Male

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)

Enrolled

State licenses

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.

• Nexus Physical Therapy

  • Physical Therapist
  • Elcajon, CA
  • NPI 1952461741
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386786192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 FOURTH AVE.",
            "address_2": "SUITE 201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035716",
            "telephone_number": "619-297-4404",
            "fax_number": "619-297-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5360 JACKSON DR",
            "address_2": "SUITE 116",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919426002",
            "telephone_number": "619-469-1691",
            "fax_number": "619-469-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIZENDINE",
        "first_name": "KENT",
        "middle_name": "HAROLD",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT22612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brighton Place of la Mesa
• Cesar Brijandez, IMF
• Felicia R Briones-Colman, M.D.
• Julio Brionez, PHD
• Camille Brisbo, SLP
• Darrell L. Broaddus, PH.D.
• Erin Broderick, RRT
• Tatiana Brodsky
• April Brohamer
• Andrew J Brown, MD

• Physical Therapist in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Physical Therapist in California

• 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.

Verify at the official NPI Registry.