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Deactivated NPI 1386787372 Deactivated / Inactive NPI Male Practitioner

Brian Wunderly , PT

Specialist • Clanton, AL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Brian Wunderly has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 15, 2007
NPI Deactivation Date March 29, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Brian Wunderly, PT was a registered Specialist practicing in Clanton, AL. Throughout an active medical career spanning 16 years, Brian Wunderly provided care at the practice location at 118 6TH ST S until profile deactivation on 2023-03-29.

Practice Location & Contact Primary Location

Practice Address

118 6th St S

Clanton, AL 350453540

Telephone 2057559926
Associated Practice Facility / Clinic
🏢 Mid-South Home Health, Llc Facility NPI 1003067000

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Clanton, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 34.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Clanton, AL (611 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License AL PTH4324

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 29, 2023

Record deactivated on March 29, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 118 6TH ST S, CLANTON, AL 350453540 (Tel: 2057559926)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 360225, HOOVER, AL 352360225

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Provider Name / Credentials Updated July 08, 2007

Recorded as BRIAN WUNDERLY, P.T.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #PTH4324 in AL)

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Initial NPI Registration & Enumeration February 15, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386787372
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 15, 2007
Last Update: July 08, 2007
Deactivation Date: March 29, 2023

Mailing Address

Po Box 360225

Hoover, AL 352360225

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.