Stephanie Trudeau Brockman, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

1174638 Issued in TX

Practice address

527 Raven RDG
New Braunfels, TX 78130-2343

Phone

(512) 787-9996

NPI assigned

May 27, 2010

Last updated

Mar 23, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Wheelchair Clinic Inc

  • Physical Therapist
  • Amarillo, TX
  • NPI 1265904064

  Pediatrics

  Medicare reassignment NPD

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332460800000",
    "number": "1942529094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 RAVEN RDG",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781302343",
            "telephone_number": "512-787-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 RAVEN RDG",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781302343",
            "telephone_number": "512-787-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKMAN",
        "first_name": "STEPHANIE",
        "middle_name": "TRUDEAU",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-27",
        "last_updated": "2012-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "1174638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Kristal Brito Carrate, BT
• Arlene Brizuela, PT
• Kiara Broadnax
• Somaly Fenischa Broadnax
• Bobby Charles Brock, MD
• Richard Hilaire Brodtmann, O.D.
• Gregory Jon Brogden, ACNP-BC
• Brookdale Senior Living Communities, Inc. (Brookdale New Braunfels)
• Bailey Hunter Brooke, CCC-SLP
• Dorothy Marie Brooker, LMFT

• Pediatric Physical Therapist in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Pediatric Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.