Bryan Spencer Brockus Jr., LMFT-T

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

03289-T Issued in KS

Practice address

622 E Douglas Ave
Wichita, KS 67202-3504

Phone

(316) 312-5560

NPI assigned

Aug 27, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1497422323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 E DOUGLAS AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023504",
            "telephone_number": "316-312-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 E DOUGLAS AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023504",
            "telephone_number": "316-312-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKUS",
        "first_name": "BRYAN",
        "middle_name": "SPENCER",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LMFT-T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-27",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "03289-T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bryan@brockustherapy.com",
            "affiliation": "N",
            "endpointDescription": "encrypted email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "622 E Douglas Ave",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "67202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Taylor Nicole Brock, DDS
• Jenna Brockel
• Manuel Brockman, MD
• Mindy Brockmeyer
• Ashley L Brockus, LMFT
• Shawn Michael Brockus, LPC-T
• Bryan Keith Broddle, CRNA
• Shannon Broderick, LSCSW
• Andrew Brogan, PA-C
• Desiree K Brogan, APRN

• Marriage & Family Therapist in Wichita, KS
• Providers in Wichita, KS by specialty
• Marriage & Family Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.