Individual provider Active NPI

Bradley Bevil, PT, DPT

  • Physical Therapist
  • Austin, TX
National Provider Identifier
1487034559
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3117551 Issued in TX
Practice address
1212 W Parmer LN
Austin, TX 78727-4608
Phone
(512) 670-3238
Fax
(512) 670-3241
NPI assigned
Jun 4, 2015
Last updated
Jun 4, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3117551 TX Primary

Addresses

Primary practice location

1212 W Parmer LN
Austin, TX 78727-4608

Mailing address

1212 W Parmer LN
Austin, TX 78727-4608
Phone (512) 670-3238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151210001779 TX Practitioner - Physical Therapist in Private Practice 9739480062 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashler Gowen, LLCGroup PAC ID 2668827593, 3 clinicians

Practice addresses (Care Compare)

1502 Blue Ridge Dr
Suite 304
Georgetown, TX 78626-1002
Phone (512) 339-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3117551TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ashler Gowen, LLC Physical Therapist CurrentSince Aug 1, 2023 Accepting new patients
Texas Physical Therapy Specialists CurrentSince Nov 1, 2015 Accepting new patients
Texas Physical Therapy Specialists, Inc. Physical Therapist CurrentSince Nov 1, 2015 Accepting new patients
Symmetry Physical Therapy, LLC Physical Therapist CurrentSince Jun 13, 2016 Accepting new patients

Locations

2217 Park Bend Dr
Ste 240
Austin, TX 78758
Phone (512) 339-1500

1502 Blue Ridge Dr
Ste 304
Georgetown, TX 78626
Phone (512) 339-1500

1324 E Common St
Ste 307
New Braunfels, TX 78130
Phone (830) 625-7310

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433376000000",
    "number": "1487034559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 W PARMER LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787274608",
            "telephone_number": "512-670-3238",
            "fax_number": "512-670-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 W PARMER LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787274608",
            "telephone_number": "512-670-3238",
            "fax_number": "512-670-3241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVIL",
        "first_name": "BRADLEY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "3117551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.