Individual ProviderAllan J BrossartPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address900 E Broadway Ave, Bismarck, ND 58501(701) 530-7000PECOS EnrollmentBased on the most recent information from CMS, provider Allan J Brossart does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1912182874Provider TypeIndividualFull NameBrossart, Allan JGenderMaleSole ProprietorNoEnumeration Date1/9/2008Last Updated1/9/2008Contact InformationPractice LocationPractice Address900 E Broadway Ave, Bismarck, ND 58501Phone(701) 530-7000FaxUnlisted FaxMailing LocationMailing Address900 E Broadway Ave, P.O. Box 5510, Bismarck, ND 58506-5510Phone(701) 530-7000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense707North DakotaProvider IdentifiersIDDescriptionIssuerID707DescriptionOtherIssuerLICENSENorth Dakota