Active NPI
Brent B Meserve, PT, DPT
- Physical Therapist
- Bristol, NH
National Provider Identifier
1477834018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3152
- Practice address
- 790 Lake St
Bristol, NH 03222-4548 - Phone
- (603) 744-0275
- Fax
- (603) 744-9378
- NPI assigned
- Sep 8, 2011
- 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 | 3152 | NH | Primary |
Addresses
Primary practice location
790 Lake St
Bristol, NH 03222-4548
Mailing address
PO Box 585
Plymouth, NH 03264-0585
Phone (603) 536-4991
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 |
|---|---|---|---|
| 3152 | NH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328572800000",
"number": "1477834018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 585",
"city": "PLYMOUTH",
"state": "NH",
"postal_code": "032640585",
"telephone_number": "603-536-4991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 LAKE ST",
"city": "BRISTOL",
"state": "NH",
"postal_code": "032224548",
"telephone_number": "603-744-0275",
"fax_number": "603-744-9378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESERVE",
"first_name": "BRENT",
"middle_name": "B",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-08",
"last_updated": "2012-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "3152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bristol, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.