Healthcare Provider Details

I. General information

NPI: 1639036569
Provider Name (Legal Business Name): JAMES BRINDLEY JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

744 S PHILADELPHIA BLVD STE C
ABERDEEN MD
21001-3655
US

IV. Provider business mailing address

38 KEPPELS MILL CT
RISING SUN MD
21911-1761
US

V. Phone/Fax

Practice location:
  • Phone: 410-339-1951
  • Fax:
Mailing address:
  • Phone: 302-824-2606
  • Fax: 302-824-2606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number5980
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: