Active NPI
Milton De Brun, D.P.T.
- Physical Therapist
- Greeneville, TN
National Provider Identifier
1720351034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14297
- Practice address
- 5515 Warrensburg Rd
Greeneville, TN 37743-3282 - Phone
- (404) 797-5058
- NPI assigned
- Feb 16, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 26829 | FL | |
| Physical Therapist | 225100000X | 004564 | WV | |
| Physical Therapist | 225100000X | 14297 | TN | Primary |
Addresses
Primary practice location
5515 Warrensburg Rd
Greeneville, TN 37743-3282
Mailing address
5515 Warrensburg Rd
Greeneville, TN 37743-3282
Phone (404) 797-5058
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Greeneville, TN 37743
Phone (404) 797-5058
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26829 | FL | MD | Physical Therapist |
| 004564 | WV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renova PT LLC | Physical Therapist | Current | Accepting new patients |
Networks
- Freedom Health HMO Network
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Greeneville, TN
- NPI 1164291688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1720351034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5515 WARRENSBURG RD",
"city": "GREENEVILLE",
"state": "TN",
"postal_code": "377433282",
"telephone_number": "404-797-5058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5515 WARRENSBURG RD",
"city": "GREENEVILLE",
"state": "TN",
"postal_code": "377433282",
"telephone_number": "404-797-5058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE BRUN",
"first_name": "MILTON",
"name_prefix": "Dr.",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-16",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "26829",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "004564",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "14297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greeneville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.