Active NPI
Brian Pogue
- Physical Therapist
- Cleburne, TX
National Provider Identifier
1396115390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3118440
- Practice address
- 1014 N Nolan River Rd
Cleburne, TX 76033-7935 - Phone
- (817) 641-8617
- NPI assigned
- Oct 2, 2015
- 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 Therapist | 225100000X | 3118440 | TX | Primary |
Addresses
Primary practice location
1014 N Nolan River Rd
Cleburne, TX 76033-7935
Mailing address
1014 N. Nolan River Road
Cleburne, TX 76033-7935
Phone (817) 641-8617
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450137600000",
"number": "1396115390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1014 N. NOLAN RIVER ROAD",
"city": "CLEBURNE",
"state": "TX",
"postal_code": "760337935",
"telephone_number": "817-641-8617",
"fax_number": "817-645-6966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1014 N NOLAN RIVER RD",
"city": "CLEBURNE",
"state": "TX",
"postal_code": "760337935",
"telephone_number": "817-641-8617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POGUE",
"first_name": "BRIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-02",
"last_updated": "2015-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "3118440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleburne, TX
- Kayce Danielle Pestrue, LM, CPM
- Kimberly Kay Petrie, FNP-C
- Michael Scott Phillips, M.D.
- Lindsey Elizabeth Pinkerton, LCSW
- Pinnacle Health Facilities of Texas Xiv LP
- Polymerase Labs LLC
- Roger Lane Poole, M.A., M.ED., LPC
- Samantha Powers, AUD
- Zoey Grace Prater
- Procare Home Care Services Unlimited, Corp
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.