Nikola DO Brunelle-Tran, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

295213 Issued in CA

Practice address

7414 E Grand Ave Apt 738
Dallas, TX 75214-4253

Phone

(214) 609-4929

NPI assigned

Aug 2, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1596326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596326400000",
    "number": "1902416241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7414 E GRAND AVE APT 738",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752144253",
            "telephone_number": "214-609-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7414 E GRAND AVE APT 738",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752144253",
            "telephone_number": "214-609-4929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNELLE-TRAN",
        "first_name": "NIKOLA DO",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-02",
        "last_updated": "2020-08-02",
        "certification_date": "2020-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1307269",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-4929",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "13012",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "295213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert David Brumbaugh, DDS, PA
• Monique Brumsey, AGACNP
• Elissa Brunaugh
• Freeman Brunaugh
• Angela Brundage
• Amanda Bruner, LPC-A
• Kaylah Bruner
• David W. Brunett, MD
• Sean Brunier, LMFT
• Mary Struble Brunk, DDS

• Physical Therapist in Dallas, TX
• Providers in Dallas, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.