Bradley James Keneson Ii (NPI# 1528369592, PAC ID# 2668654831) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1528369592 |
| PAC ID by PECOS | 2668654831 |
| Professional Enrollment ID | I20110309000295 |
| Full Name | Bradley James Keneson Ii |
| Address |
806 Old Cleburne Rd Granbury TX 76048-1422 |
| Gender | M |
| Medical School | KANSAS CITY MEDICAL COLLEGE |
| Graduation Year | 2007 |
| Primary Specialty | PAIN MANAGEMENT |
| Secondary Specialties | ANESTHESIOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450451 | GLEN ROSE MEDICAL CENTER |
| 450596 | LAKE GRANBURY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 806 Old Cleburne Rd, Granbury, TX 76048-1422 |
| Street Address |
806 OLD CLEBURNE RD |
| City | GRANBURY |
| State | TX |
| Zip | 76048-1422 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth P Brassie | Chiropractic | 1321 Waters Edge Dr, Suite 1003, Granbury, TX 76048-1233 | |
| Donald J Brown | Dermatology | 1321 Waters Edge Dr, Suite 1006, Granbury, TX 76048-1234 | |
| Adrienne Mucha | Nurse Practitioner | Hood Medical Group | 1315 Waters Edge Dr, Suite 101, Granbury, TX 76048-1300 |
| Kelly F Ocarroll | Internal Medicine | Hood Medical Group | 1315 Waters Edge Dr, Suite 101, Granbury, TX 76048-1300 |
| Matthew E Lambert | Psychologist, Clinical | 1315 Waters Edge Dr, 112b Matthew E. Lambert Ph.d., Granbury, TX 76048-1300 | |
| Bruce B Wadley | Optometry | Granbury Eye Care PC | 1101 Waters Edge Dr, Suite 104, Granbury, TX 76048-1474 |
| Darcy A Romine | Chiropractic | 1101 Waters Edge Dr, Suite 100, Granbury, TX 76048-1474 | |
| Timothy E Bowers | Optometry | Granbury Eye Care PC | 1101 Waters Edge Dr, Suite 104, Granbury, TX 76048-1474 |
| Robert L Lee | Family Medicine | 805 Hill Blvd, Unit 103, Granbury, TX 76048-1482 | |
| Geraldine M Disnard | Nurse Practitioner | 1201 W 2nd St, 105 Medipsych Counseling Associates, Granbury, TX 76048-1490 | |
| Find all physicians in zip 76048 | |||
| City | GRANBURY |
| Zip Code | 76048 |
| Specialty | PAIN MANAGEMENT |
| City + Specialty | GRANBURY + PAIN MANAGEMENT |
Please comment or provide details below to improve the information on Bradley James Keneson Ii.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.