MR. BRIAN JOSEPH BOURDEAU (PT) – Physical Therapist, NPI 1336138288

MR. BRIAN JOSEPH BOURDEAU (PT) is a healthcare provider. based in Bradenton, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT21211 (FL). The NPI Number for MR. BRIAN JOSEPH BOURDEAU (PT) is 1336138288

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
MR. BRIAN JOSEPH BOURDEAU (PT)
NPI
1336138288
Phone
(941) 739-7828
Address
3651 CORTEZ RD W
Enumeration Date
13 October 2005
Last Update Date
16 February 2012

Doctor Profile

Medical School Name
UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Secondary Phone
8509342000
Graduation Year
2002 (24 years ago)
PAC ID
1254375397
Group Practice PAC ID
3274616453
Professional Enrollment ID
I20050620000257
Address ID
FL325614884GU1110XPKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

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Provider Addresses for MR. BRIAN JOSEPH BOURDEAU (PT)

  • 3651, Cortez Road West, Bradenton, Manatee County, Florida, 34210, United States

    STE 100

    BRADENTON, FL 342103167

    Phone: (941) 739-7828

    Fax: (941) 739-7838

    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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-06-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050620000257IPhysical Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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 minutes2,601206$0
97140Therapy procedure using manual technique, each 15 minutes951156$0
97161Evaluation for physical therapy, typically 20 minutes123121$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes11829$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care2212$0
View full utilization report →

Insurance plans in this area (ZIP 34210)

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Provider's Procedures

MR. BRIAN JOSEPH BOURDEAU (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYFL97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes379200

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: 3274616453View full group profile
NameSpecialtyState
Orthopedic SurgeryFL
-FL
-FL
-FL
-FL
Orthopedic Surgery, Sports MedicineTX
Physical Therapist In Private PracticeFL
Sports MedicineFL
Physician AssistantFL
Orthopedic SurgeryFL

Reviews

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Frequently asked questions

What identifier follows MR. BRIAN JOSEPH BOURDEAU (PT) across health systems?
The NPI 1336138288 uniquely identifies MR. BRIAN JOSEPH BOURDEAU (PT) in U.S. healthcare data.
Should I treat MR. BRIAN JOSEPH BOURDEAU (PT) as an active provider?
Patients and plans typically see MR. BRIAN JOSEPH BOURDEAU (PT) as active in the national extract.
What type of care does MR. BRIAN JOSEPH BOURDEAU (PT) provide?
MR. BRIAN JOSEPH BOURDEAU (PT)'s profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
Is MR. BRIAN JOSEPH BOURDEAU (PT) tied to Bradenton, Florida?
If you are local to Bradenton, Florida, MR. BRIAN JOSEPH BOURDEAU (PT) may be relevant to your search.
Why is information missing for MR. BRIAN JOSEPH BOURDEAU (PT)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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