King Brangman
Clinic/Center, Physical Therapy in Revere, Massachusetts
1295109171- Practice location
- 199 Shirley Ave, Revere, MA 02151-3258
- Phone
- 781-629-7110
- Fax
- 781-629-4754
- Last updated
- November 16, 2015
King Brangman is a Clinic/Center, Physical Therapy based in Revere, MA. King Brangman practices in Revere, MA. The NPI Number for King Brangman is 1295109171 and holds a License No. 968 (MA). The current practice location address for King Brangman is 199 Shirley Ave, Revere, MA 02151-3258 and can be reached out via phone at 781-629-7110 and via fax at 781-629-4754.
Provider Profile Details
- NPI Number
- 1295109171
- Provider Name
- King Brangman
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 199 Shirley Ave, Revere, MA 02151-3258
- Phone Number
- 781-629-7110
- Fax Number
- 781-629-4754
- Primary Taxonomy
- Clinic/Center, Physical Therapy · 261QP2000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 16, 2015
- Last Update Date
- November 16, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 199 Shirley Ave
Revere, MA 02151-3258 - City
- Revere
- State
- Massachusetts
- Zip
- 02151-3258
- Phone Number
- 781-629-7110
- Fax Number
- 781-629-4754
Provider Business Mailing Address Details
- Address
- 199 Shirley Ave
Revere, MA 02151-3258 - City
- Revere
- State
- MA
- Zip
- 02151-3258
- Phone Number
- 781-629-7110
- Fax Number
- 781-629-4754
License Information
- License Number
- 968
- License State
- MA
- Taxonomy
- Clinic/Center, Physical Therapy · 261QP2000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, Physical Therapy providers near Revere, MA
View all Clinic/Center, Physical Therapy providers in Revere →- Citizens Physical Therapy INCClinic/Center, Physical Therapy · NPI 1558859850
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- Mgh Revere Healthcare CentreClinic/Center, Physical Therapy · NPI 1528298296
- Revere Physical TherapyClinic/Center, Physical Therapy · NPI 1699949396
- Revere Rehab, INC.Clinic/Center, Physical Therapy · NPI 1720324726
- We Care Physical TherapyClinic/Center, Physical Therapy · NPI 1043683279
Frequently Asked Questions
What is the NPI number of King Brangman?
The NPI number of King Brangman is 1295109171. It was assigned on November 16, 2015 and is currently active in the NPPES registry.
What is the specialty of King Brangman?
King Brangman is registered under the primary taxonomy Clinic/Center, Physical Therapy (code 261QP2000X), licensed in MA under license number 968.
Where does King Brangman practice?
The practice location is 199 Shirley Ave, Revere, MA 02151-3258. The office can be reached at 781-629-7110 (phone) or 781-629-4754 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295109171 directly on the NPPES registry website.