Individual provider Active NPI

Bruce E Brawner Jr., DPT

  • Physical Therapist
  • Huntsville, AL
National Provider Identifier
1760722359
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH6743 Issued in AL
Practice address
11310 Memorial Pkwy SW Ste L
Huntsville, AL 35803-2495
Phone
(256) 203-0633
Fax
(256) 203-0688
NPI assigned
Feb 19, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH6743 AL Primary
Orthopedic Physical Therapist 2251X0800X PTH6743 AL

Addresses

Primary practice location

11310 Memorial Pkwy SW Ste L
Huntsville, AL 35803-2495

Mailing address

800 Crescent Centre Dr Ste 300
Franklin, TN 37067-7285
Phone (615) 373-1350

Other practice location 1

12819 Highway 231 431 N Ste G
Hazel Green, AL 35750-8629
Phone (256) 829-9544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130417000296 AL Practitioner - Physical Therapist in Private Practice 9032355094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sixfourthree, LLCGroup PAC ID 7719957976, 47 clinicians

Practice addresses (Care Compare)

1346 Gunter Ave
Guntersville, AL 35976-1844
Phone (256) 860-4050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6743ALMDAnatomic Pathology & Clinical Pathology Physician
PTH6743ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sixfourthree, LLC CurrentSince Jan 28, 2026 Accepting new patients
Sixfourthree, LLC CurrentSince Jan 28, 2026 Accepting new patients

Locations

1346 Gunter Ave
Guntersville, AL 35976
Phone (256) 860-4050

4240 Balmoral Dr SW
Ste 100
Huntsville, AL 35801
Phone (256) 883-1970

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1760722359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CRESCENT CENTRE DR STE 300",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370677285",
            "telephone_number": "615-373-1350",
            "fax_number": "615-221-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11310 MEMORIAL PKWY SW STE L",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358032495",
            "telephone_number": "256-203-0633",
            "fax_number": "256-203-0688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12819 Highway 231 431 N Ste G",
            "address_purpose": "LOCATION",
            "city": "Hazel Green",
            "state": "AL",
            "postal_code": "357508629",
            "country_code": "US",
            "telephone_number": "256-829-9544",
            "fax_number": "256-829-9522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAWNER",
        "first_name": "BRUCE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-19",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH6743",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AL",
            "license": "PTH6743",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.

Verify at the official NPI Registry.