Mark Alan Brimer, PH.D., P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT2876 Issued in FL

Practice address

850 Loggerhead Island Dr
Satellite Beach, FL 32937-3845

Phone

(321) 508-3250

NPI assigned

Jun 15, 2013

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Rose Wellness Clinic LLC

  • General Practice Physician
  • The Villages, FL
  • NPI 1598159576

  Physical Therapist

  NPD

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

{
    "created_epoch": "1371254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371254400000",
    "number": "1477992105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 LOGGERHEAD ISLAND DR",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329373845",
            "telephone_number": "321-508-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 LOGGERHEAD ISLAND DR",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329373845",
            "telephone_number": "321-508-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIMER",
        "first_name": "MARK",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "PH.D., P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-15",
        "last_updated": "2013-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT2876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duncan N Bowen Jr., PHD
• Michelle Boyles
• Katherine Anne Breiding, PT
• Heidi Brewer, LMFT
• Dreama L Briley, RMHCI
• Mary Beth Britton-King, ARNP
• Judith Bulliner, HHA
• Jade Burgos
• Brian Burns
• C. Stevens Psychological Associates

• Physical Therapist in Satellite Beach, FL
• Providers in Satellite Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2013; 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.