Active NPI
Bobby (BJ) James Brewer, PT ASST
- Physical Therapy Assistant
- Denton, TX
National Provider Identifier
1689797649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2052410
- Practice address
- 2620 Scripture St
Denton, TX 76201-4315 - Phone
- (940) 297-6500
- Fax
- (972) 297-6535
- NPI assigned
- Apr 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2052410 | TX | Primary |
Addresses
Primary practice location
2620 Scripture St
Denton, TX 76201-4315
Mailing address
4107 Waverly Rd
Corinth, TX 76208-5269
Phone (940) 453-1319
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2052410 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297296000000",
"number": "1689797649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4107 WAVERLY RD",
"city": "CORINTH",
"state": "TX",
"postal_code": "762085269",
"telephone_number": "940-453-1319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 SCRIPTURE ST",
"city": "DENTON",
"state": "TX",
"postal_code": "762014315",
"telephone_number": "940-297-6500",
"fax_number": "972-297-6535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWER",
"first_name": "BOBBY (BJ)",
"middle_name": "JAMES",
"credential": "PT ASST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-06",
"last_updated": "2011-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2052410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.