David James Brandenburg

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

T01321 Issued in KS

Practice address

426 McCall Rd # a
Manhattan, KS 66502-5032

Phone

(785) 776-0670

Fax

(785) 776-0096

NPI assigned

Jun 19, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Maximum Functional Performance IncGroup PAC ID 7416040720, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Maximum Functional Performance Inc

  • Physical Therapist
  • Manhattan, KS
  • NPI 1851445894
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1487859518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 MCCALL RD # A",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665025032",
            "telephone_number": "785-776-0670",
            "fax_number": "785-776-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 MCCALL RD # A",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665025032",
            "telephone_number": "785-776-0670",
            "fax_number": "785-776-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDENBURG",
        "first_name": "DAVID",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "T01321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200557280A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melinda B Bowen, R.N.
• Danyel Bowers
• Derek Andrew Bowman
• Audrey Kristine Boyd-Euing, OT
• Blake A Bradford, PHARMD
• Holly Marie Brannen, APRN-C
• Ryan David Brantley, P.A
• Adam M Braxmeyer, DPT
• Heather R Brazzle, P.A.
• Reagan Breitenbach, RN

• Physical Therapist in Manhattan, KS
• Providers in Manhattan, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; 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.