Norman Robert Brethouwer, D.O.

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

15237 Issued in CO

Practice address

1020 S Townsend Ave Ste a
Montrose, CO 81401-4937

Phone

(970) 249-3466

Fax

(970) 249-3468

NPI assigned

Sep 25, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699875807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 S TOWNSEND AVE STE A",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014937",
            "telephone_number": "970-249-3466",
            "fax_number": "970-249-3468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 S TOWNSEND AVE STE A",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014937",
            "telephone_number": "970-249-3466",
            "fax_number": "970-249-3468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRETHOUWER",
        "first_name": "NORMAN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CO",
            "license": "15237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01152370",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jack Emery Bradley, DC
• Douglas Maurice Brannam, D.C.
• Chelsea L Brennecke, DDS
• Merri Brennecke, RN
• Emily E Brent, OT
• William David Brewer, LMFT
• Michael V Brezinsky, M.D.
• Shara L Briggs, MA
• Katherine Brinson, LPCC
• Kathryn Esther Brittain, DC

• Neuromusculoskeletal Medicine & OMM Physician in Montrose, CO
• Providers in Montrose, CO by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.