Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Benjamin Scott Brandvig

Individual provider Physical Therapist · NPI 1376311985

Benjamin Scott Brandvig is a Physical Therapist in Private Practice in Live Oak, Texas. Qualified in 2023, 3 years ago. Practices with Sports Medicine Associates of San Antonio PA, a 55-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
3
Licensed in
TX
In the registry since
2023
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Practice location Address checks out

12413 Judson Rd Ste 100
Live Oak, TX 78233-3262
Phone: (210) 314-1071
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1386198 (TX)

Record details

NPI number1376311985
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 13, 2023
Last updated in NPPESDecember 13, 2023
Certification dateDecember 13, 2023
Mailing address1650 Lyndon Farm Ct Ste 300, Louisville, KY 40223-5005

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Sports Medicine Associates Of San Antonio Pa — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Live Oak