Brian David Labudde

Primary specialty

Clinical Exercise PhysiologistTaxonomy code 224Y00000X

Practice address

2415 Parkwood Dr
Brunswick, GA 31520-4722

Phone

(912) 466-1100

NPI assigned

Mar 15, 2022

Last updated

Mar 15, 2022By the provider in NPPES

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)

Not enrolled

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1639827983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WELLINGTON PL",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315237072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 PARKWOOD DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204722",
            "telephone_number": "912-466-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABUDDE",
        "first_name": "BRIAN",
        "middle_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Payal Kumari, M.D
• Chelsea Kurrasch
• Ryan Kwan, O.D.
• Lutas Labarba, LAPC
• Laboratory Corporation of America Holdings
• Graham Alexander Laidler, PT
• Royce K Laidler, CCC/SLP
• Heather Lambert, LCSW
• Micah Henderson Lancaster, PA-C
• Robert Kenneth Lancaster, DMD

• Clinical Exercise Physiologist in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Clinical Exercise Physiologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.