Brent G Bradley (NPI# 1811970221, PAC ID# 4385638063) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1811970221 |
| PAC ID by PECOS | 4385638063 |
| Professional Enrollment ID | I20040414000735 |
| Full Name | Brent G Bradley |
| Address |
57067 Beaver Dr Suite B Sunriver OR 97707-2502 |
| Gender | M |
| Credential | PT |
| Graduation Year | 1998 |
| Primary Specialty | PHYSICAL THERAPY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 57067 Beaver Dr, Suite B, Sunriver, OR 97707-2502 |
| Street Address |
57067 BEAVER DR SUITE B |
| City | SUNRIVER |
| State | OR |
| Zip | 97707-2502 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Skotte Jr. | Family Medicine | 57067 Beaver Dr, Sunriver, OR 97707 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Duane Charles Wilson | Diagnostic Radiology | Glendora Radiological Assoc Inc | 57638 Red Alder Lane, Sunriver, OR 97707 |
| City | SUNRIVER |
| Zip Code | 97707 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | SUNRIVER + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Brent G Bradley.
| 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.