Active NPI
Brandan Gerry
- Educational Registered Respiratory Therapist
- San Antonio, TX
National Provider Identifier
1750766135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Educational Registered Respiratory Therapist
- License
- 77061
- Practice address
- 4803 NW Loop 410 Ste 200
San Antonio, TX 78229-4208 - Phone
- (210) 598-8090
- NPI assigned
- Jul 27, 2015
- 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 |
|---|---|---|---|---|
| Educational Registered Respiratory Therapist | 2279E1000X | 77061 | TX | Primary |
Addresses
Primary practice location
4803 NW Loop 410 Ste 200
San Antonio, TX 78229-4208
Mailing address
6418 Eckhert Rd
San Antonio, TX 78240-2896
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 |
|---|---|---|---|
| 77061 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437955200000",
"number": "1750766135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6418 ECKHERT RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782402896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4803 NW LOOP 410 STE 200",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294208",
"telephone_number": "210-598-8090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERRY",
"first_name": "BRANDAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-27",
"last_updated": "2015-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "2279E1000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered, Educational",
"state": "TX",
"license": "77061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.