Provider Demographics
NPI:1255344420
Name:BEUNING, BRETT ALLAN (DPT)
Entity type:Individual
Prefix:MR
First Name:BRETT
Middle Name:ALLAN
Last Name:BEUNING
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
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Mailing Address - Street 1:17325 BELL NORTH DR
Mailing Address - Street 2:SUITE 2-B.
Mailing Address - City:SCHERTZ
Mailing Address - State:TX
Mailing Address - Zip Code:78154-3368
Mailing Address - Country:US
Mailing Address - Phone:888-590-4002
Mailing Address - Fax:
Practice Address - Street 1:1324 COMMON ST
Practice Address - Street 2:STE 307
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-3565
Practice Address - Country:US
Practice Address - Phone:830-625-7310
Practice Address - Fax:830-625-3228
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9278208100000X
TX1231450225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCO304334Medicare PIN