Healthcare Provider Details

I. General information

NPI: 1972435725
Provider Name (Legal Business Name): ROBERT HARRISON BRAWNER PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1716 HIGHWAY 51 STE N
MADISON MS
39110-5020
US

IV. Provider business mailing address

2823 GREYSTONE COMMERCIAL BLVD
HOOVER AL
35242-2660
US

V. Phone/Fax

Practice location:
  • Phone: 601-499-5780
  • Fax:
Mailing address:
  • Phone: 205-745-3660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT8180
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: