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

Mr. Brian Gonzales Puckett

Individual provider Physical Therapist · NPI 1912484205

Mr. Brian Gonzales Puckett is a Physical Therapist in El Centro, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

426 N Imperial Ave
El Centro, CA 92243-2329
Phone: (760) 592-8148
Fax: (760) 841-5556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 34600 (CA)

Record details

NPI number1912484205
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 19, 2018
Last updated in NPPESJanuary 9, 2020
Certification dateJanuary 9, 2020

Other providers in El Centro