Individual provider Active NPI

Adam G Brazil, PT

  • Physical Therapist
  • Kingwood, TX
National Provider Identifier
1770124612
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1319215 Issued in TX
Practice address
215 Kingwood Executive Dr
Kingwood, TX 77339-2763
Phone
(346) 522-2165
Fax
(346) 522-2166
NPI assigned
Oct 2, 2019
Last updated
Jan 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1319215 TX Primary

Addresses

Primary practice location

215 Kingwood Executive Dr
Kingwood, TX 77339-2763

Mailing address

215 Kingwood Executive Dr
Kingwood, TX 77339-2763
Phone (346) 522-2165

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191028000421 TX Practitioner - Physical Therapist in Private Practice 9537491477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

215 Kingwood Executive Dr
Suite 130
Kingwood, TX 77339-2763
Phone (281) 358-4145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Texas Limited Partnership CurrentSince Apr 11, 2023 Accepting new patients
Select Physical Therapy Texas Limited Partnership Physical Therapist CurrentSince Apr 11, 2023 Accepting new patients

Locations

215 Kingwood Executive Dr
Ste 130
Kingwood, TX 77339
Phone (281) 358-4145

8111 Cypresswood Dr
Ste 102
Spring, TX 77379
Phone (281) 376-3900

711 W Bay Area Blvd
Ste 608
Webster, TX 77598
Phone (281) 338-1273

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1770124612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 KINGWOOD EXECUTIVE DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392763",
            "telephone_number": "346-522-2165",
            "fax_number": "346-522-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 KINGWOOD EXECUTIVE DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392763",
            "telephone_number": "346-522-2165",
            "fax_number": "346-522-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZIL",
        "first_name": "ADAM",
        "middle_name": "G",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-02",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1319215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.

Verify at the official NPI Registry.