NPIMap

Organization Active NPI

Brent C Stuart LLC

  • Physical Therapist
  • Boynton Beach, FL
National Provider Identifier
1679017602
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BRENT C STUART LLC
Practice address
10151 Enterprise Center Boulevard
Suite 200
Boynton Beach, FL 33437-3759
Phone
(561) 208-1008
Fax
(561) 530-7833
NPI assigned
Dec 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Authorized official

Name
Mr. Brent C Stuart, PTNPI 1083662175
Title
President
Phone
(561) 208-1008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

10151 Enterprise Center Boulevard
Suite 200
Boynton Beach, FL 33437-3759

Mailing address

9858 Clint Moore Road
C111-274
Boca Raton, FL 33496-1034
Phone (561) 482-1144

Other names 1

  • BCS Physical Therapy & Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170509002849 FL Part B Supplier - Clinic/Group Practice 8628355146 Receives reassigned benefits from 9 practitioners
Practice locations: Boynton Beach, FL; Lantana, FL

National Provider Directory

National Provider Directory

Locations

10151 Entrprs Cntr Blvd
Ste 200
Boynton Beach, FL 33437
Phone (561) 208-1008

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1481241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527724800000",
    "number": "1679017602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9858 CLINT MOORE ROAD",
            "address_2": "C111-274",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334961034",
            "telephone_number": "561-482-1144",
            "fax_number": "561-482-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10151 ENTERPRISE CENTER BOULEVARD",
            "address_2": "SUITE 200",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373759",
            "telephone_number": "561-208-1008",
            "fax_number": "561-530-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT C STUART LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-09",
        "last_updated": "2018-05-31",
        "status": "A",
        "authorized_official_last_name": "STUART",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-208-1008",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BCS Physical Therapy & Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BCS Physical Therapy & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.