MR. BRENT LANE WELLS (NPI# 1972543411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972543411 |
| Entity Type | Individual |
| Full Name | MR. BRENT LANE WELLS |
| Credential | P.T.,D.P.T., O.C.S |
| Practice Address |
34910 Ih 10 W Suite 401 Boerne TX 78006-9229 |
| Mailing Address |
Po Box 1468 Boerne TX 78006-1468 |
| Practice Telephone | 8308162611 |
| Practice Fax Number | 8308162688 |
| Mailing Telephone | 8308162611 |
| Mailing Fax Number | 8308162688 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2007-11-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
1125367 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS PROVIDER | 8T2859 | 01 |
| TX | MEDICARE GROUP UPIN | 00472X | 01 |
| TX | BCBS GROUP | 0084LJ | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295898930 | Brent Wade Wells | Chiropractor | 8840 Old Seward Hwy, Anchorage, AK 99515-2020 | 2006-12-17 |
| 1053772210 | Brent Wells | Registered Nurse | 4455 Ne Hwy 20, Corvallis, OR 97330 | 2016-03-16 |
| 1043624836 | Brent Ryan Wells | Optometrist | 2231 Bayview Heights Dr, Los Osos, CA 93402-3900 | 2014-06-19 |
| Street Address |
34910 IH 10 W SUITE 401 |
| City | BOERNE |
| State | TX |
| Zip Code | 78006-9229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093710451 | Michelle Marie Arandes | Pediatrics | 34910 Ih 10 W, Ste 501, Boerne, TX 78006-9230 | 2005-06-14 |
| 1528250958 | James Michael Ferris | Physician Assistant | 34910 Ih 10 W, Suite 301, Boerne, TX 78006 | 2007-08-09 |
| 1700978897 | A Plus Pediatrics, Pa | Pediatrics | 34910 Ih 10 W, 501, Boerne, TX 78006-9229 | 2006-09-28 |
| 1619912383 | Wells Physical Therapy of Boerne, P.l.l.c. | Physical Therapist | 34910 Ih 10 W, Suite 401, Boerne, TX 78006-9229 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218517 | Boerne Mens Clinic | Family Medicine | 138 Tx-46, Boerne, TX 78006 | 2020-09-01 |
| 1700431798 | Methodist Ambulatory Surgery Center of Boerne, LLC | Clinic/Center | 110 Menger Springs, Boerne, TX 78006 | 2019-08-06 |
| 1144704156 | Lauren Elizabeth Settle | Counselor | 26254 Interstate 10, Suite 224, Boerne, TX 78006 | 2018-09-17 |
| 1265914600 | Shana North | Physical Therapy Assistant | 200 Ryan Street, Boerne, TX 78006 | 2018-09-02 |
| 1598258352 | Alamo Prosthetics LLC | Durable Medical Equipment & Medical Supplies | 28711 I 10 W, Boerne, TX 78006 | 2018-06-07 |
| 1578052312 | Premium Pharma, LLC | Pharmacy | 1 Fm 3351 S Ste 115, Boerne, TX 78006 | 2018-05-08 |
| 1952814386 | Advanced Surgical Care of Boerne, LLC | Clinic/Center | 138 Old San Antonio Rd # 400, Boerne, TX 78006 | 2017-11-07 |
| 1184151532 | River Road Pharmacy | Pharmacy | 910 River Rd Ste 103, Boerne, TX 78006 | 2017-05-16 |
| 1487191565 | Olive Branch Hope Center, Inc | Counselor | 215 W Bandera Rd 114 Pmb 239, Boerne, TX 78006 | 2017-01-26 |
| 1063955367 | Leigh Ann Grasso | Pharmacist | 31007 Ih 10 W, Ste 108, Boerne, TX 78006 | 2016-11-18 |
| Find all providers in zip 78006 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770011553 | Casey Mccollum | Physical Therapist | 1002 E Blanco Rd Ste B, Boerne, TX 78006-1802 | 2017-05-24 |
| 1619912383 | Wells Physical Therapy of Boerne, P.l.l.c. | Physical Therapist | 34910 Ih 10 W, Suite 401, Boerne, TX 78006-9229 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245837889 | Jeremy Tan | Physical Therapist | 505 S Friendswood Dr Ste 101, Friendswood, TX 77546-2254 | 2020-10-06 |
| 1184232100 | Cindy Hon Pt Pllc | Physical Therapist | 3832 Gildas Path, Pflugerville, TX 78660-4168 | 2020-07-15 |
| 1114544095 | Morgan Sanders | Physical Therapist | 2419 Tx 121, Bedford, TX 76021 | 2020-06-26 |
| 1790300226 | Jave Del Rosario | Physical Therapist | 3601 N Macgregor Way Ste 514, Houston, TX 77004-8004 | 2020-06-10 |
| 1922634724 | Carra Dudley | Physical Therapist | 415 E Parkwood Ave, Friendswood, TX 77546-5149 | 2020-03-13 |
| 1013542513 | Alexis Nicole Shoope | Physical Therapist | 3300 Cummins St Apt 2329, Houston, TX 77027-5992 | 2020-03-05 |
| 1861026437 | Robin Elizabeth Mcgee | Physical Therapist | 2555 Gulf Fwy S Ste 400, League City, TX 77573-6742 | 2020-02-23 |
| 1811520612 | Christopher William Chenault X | Physical Therapist | 14857 Southwest Fwy # C303, Sugar Land, TX 77478-5016 | 2020-02-20 |
| 1770116584 | Jordan William Ordoyne | Physical Therapist | 545 Creekside Xing Ste 138, New Braunfels, TX 78130-4271 | 2020-02-20 |
| 1972136851 | Nicole Marie Baker | Physical Therapist | 9180 Pinecroft Dr, Shenandoah, TX 77380-2794 | 2020-02-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.