BRYANT BRUECKNER – Physical Therapist, NPI 1154854495

BRYANT BRUECKNER is a healthcare provider. based in Port orange, Florida. specializing in Physical Therapist. They hold a License No. 62170 (OR). The NPI Number for BRYANT BRUECKNER is 1154854495

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
BRYANT BRUECKNER
NPI
1154854495
Phone
Not provided
Address
5535 S WILLIAMSON BLVD
Enumeration Date
4 April 2017
Last Update Date
4 April 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5414826360
Graduation Year
2016 (10 years ago)
PAC ID
7214279579
Group Practice PAC ID
4284615311
Professional Enrollment ID
I20190507001189
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

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Provider Addresses for BRYANT BRUECKNER

  • 5535, South Williamson Boulevard, Port Orange, Volusia County, Florida, 32128, United States

    SUITE 774

    PORT ORANGE, FL 321288311

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes30927$0
97530Therapy procedure using functional activities17124$0
97140Therapy procedure using manual technique, each 15 minutes12622$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes10816$0
View full utilization report →

Insurance plans in this area (ZIP 32128)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284615311View full group profile
NameSpecialtyState
-OR
Physical Therapist In Private PracticeOR
-OR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeNC
-TN
-CO
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR

Reviews

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Frequently asked questions

What identifier follows BRYANT BRUECKNER across health systems?
The NPI 1154854495 uniquely identifies BRYANT BRUECKNER in U.S. healthcare data.
Does the public listing show BRYANT BRUECKNER as active?
BRYANT BRUECKNER's NPI record reflects an active status in NPPES.
How should patients interpret BRYANT BRUECKNER's specialty?
The extract shows Physical Therapist for BRYANT BRUECKNER. Clinical services aligned with this taxonomy classification.
What geographic area is tied to BRYANT BRUECKNER?
BRYANT BRUECKNER is associated with Port Orange, Florida in the same public data insurers reference.
Why is information missing for BRYANT BRUECKNER?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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