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1093643157 NPI number — BRIAN HAL BRETTON MA

NPI Number: 1093643157
Health Care Provider/Practitioner: BRIAN HAL BRETTON MA

Information about “1093643157” NPI (BRIAN HAL BRETTON MA) exists in 1093643157 in HTML format HTML  |  1093643157 in plain Text format TXT  |  1093643157 in PDF (Portable Document Format) PDF  |  1093643157 in an XML format XML  formats.

NPI Number : 1093643157 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1093643157",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BRETTON",
    "FirstName": "BRIAN",
    "MiddleName": "HAL",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "MA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "496 FORELLE ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CLIFTON",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "81520-8754",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "970-361-5403",
    "MailingAddressFaxNumber": "970-361-5403",
    "FirstLinePracticeLocationAddress": "336 MAIN ST STE 206",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GRAND JUNCTION",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "81501-2460",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "970-361-5403",
    "PracticeLocationAddressFaxNumber": "970-361-5403",
    "EnumerationDate": "05/11/2026",
    "LastUpdateDate": "05/11/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YA0400X",
        "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
        "LicenseNumber": "0024653",
        "LicenseNumberStateCode": "CO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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