Bradley J Carpenter (NPI# 1144427451, PAC ID# 5092968644) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1144427451 |
| PAC ID by PECOS | 5092968644 |
| Professional Enrollment ID | I20130109000540 |
| Full Name | Bradley J Carpenter |
| Organization Legal Name | TIBURON FAMILY EYECARE, PC |
| Address |
11314 Wickersham Blvd Suite 300 Gretna NE 68028-6989 |
| Phone Number | 4029335775 |
| Gender | M |
| Medical School | PENNSYLVANIA COLLEGE OF OPTOMETRY |
| Graduation Year | 2007 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 8022255181 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 11513 S 42nd St, Suite 100, Bellevue, NE 68123-1004 | 4029642700 | BELLEVUE FAMILY EYECARE CENTER PC |
| 11314 Wickersham Blvd, Suite 300, Gretna, NE 68028-6989 | 4029335775 | TIBURON FAMILY EYECARE, PC |
| Organization Legal Name | TIBURON FAMILY EYECARE, PC |
| Physicians | 1 |
| Street Address |
11314 WICKERSHAM BLVD SUITE 300 |
| City | GRETNA |
| State | NE |
| Zip | 68028-6989 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carmella N Imig | Family Medicine | Alegent Creighton Clinic | 102 W Gruenther Rd, Gretna, NE 68028-4828 |
| Rina Kojima Rousek | Nurse Practitioner | Alegent Creighton Clinic | 102 W Gruenther Rd, Gretna, NE 68028-4828 |
| Constance Bridges | Nurse Practitioner | Alegent Creighton Clinic | 102 W Gruenther Rd, Gretna, NE 68028-4828 |
| Brad Alan Meylor | Chiropractic | 11532 Willow Park Dr, Suite 300, Gretna, NE 68028-6954 | |
| Emily K Harrington | Qualified Speech Language Pathologist | Family Physical Therapy and Sports Center | 913 Village Sq, Gretna, NE 68028-7853 |
| Rachel R Weakland | Qualified Speech Language Pathologist | Family Physical Therapy and Sports Center | 913 Village Sq, Gretna, NE 68028-7853 |
| Carrie A Wilson | Physical Therapy | Family Physical Therapy and Sports Center | 913 Village Sq, Gretna, NE 68028-7853 |
| Caroline T Anderson | Occupational Therapy | Family Physical Therapy and Sports Center | 820 Village Sq, Gretna, NE 68028-7914 |
| Bradley David Stauffer | Chiropractic | 826 Village Sq, Gretna, NE 68028-7914 | |
| Cheryl Marie Chapman | Optometry | Gretna Eye Care PC | 814 Village Sq, Gretna, NE 68028-7914 |
| Find all physicians in zip 68028 | |||
| City | GRETNA |
| Zip Code | 68028 |
| Specialty | OPTOMETRY |
| City + Specialty | GRETNA + OPTOMETRY |
Please comment or provide details below to improve the information on Bradley J Carpenter.
| 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.