John Russell Brazelton, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1581 Montgomery Hwy
Vestavia Hills, AL 35216-4521

Phone

(205) 874-6765

NPI assigned

Mar 27, 2025

Last updated

Mar 27, 2025By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ultimate Edge Sports Medicine

  • Physical Therapy Clinic/Center
  • Hoover, AL
  • NPI 1821442146
  Medicare reassignment NPD

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

{
    "created_epoch": "1743033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1710780747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1581 MONTGOMERY HWY",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352164521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1581 MONTGOMERY HWY",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352164521",
            "telephone_number": "205-874-6765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZELTON",
        "first_name": "JOHN",
        "middle_name": "RUSSELL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-27",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Ann Bowness, FNP
• Emily Kathryn Boyd, DPT
• Brakke-Hoehle ENT.
• Leann Marie Brakke, LPC, MS, NBCC
• Kenneth Wayne Bramlett, M.D.
• Shenika Brewer, LPC
• Mary Virginia Briley
• Charles A Brock, OD
• Kelsey Farley Brock, LPC
• Abigail Anne Brown, RN

• Physical Therapist in Vestavia Hills, AL
• Providers in Vestavia Hills, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.