Active NPI
Brian Gast
- Physical Therapist
- Glen Burnie, MD
National Provider Identifier
1891208708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 26757
- Practice address
- 7711 Quarterfield Rd Ste C2
Glen Burnie, MD 21061-4591 - Phone
- (410) 487-6447
- NPI assigned
- Nov 14, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 26757 | MD | Primary |
Addresses
Primary practice location
7711 Quarterfield Rd Ste C2
Glen Burnie, MD 21061-4591
Mailing address
501 Fairmount Ave
Towson, MD 21286-5457
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26757 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510617600000",
"number": "1891208708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 FAIRMOUNT AVE",
"city": "TOWSON",
"state": "MD",
"postal_code": "212865457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7711 QUARTERFIELD RD STE C2",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210614591",
"telephone_number": "410-487-6447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAST",
"first_name": "BRIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-14",
"last_updated": "2017-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "26757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.