Bradley Garrett Fairman, DC | |
537 Main St, Berlin, PA 15530-1344 | |
(814) 267-6440 | |
(814) 267-6442 |
Full Name | Bradley Garrett Fairman |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 537 Main St, Berlin, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104956986 | NPI | - | NPPES |
001666144 | Other | PA | HIGHMARK PROVIDER ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC009285 (Pennsylvania) | Primary |
Provider Name | Fairman Family Chiropractic P C |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1710100458 PECOS PAC ID: 6305947136 Enrollment ID: O20070724000537 |
Mailing Address | Practice Location Address |
---|---|
Bradley Garrett Fairman, DC 537 Main St, Berlin, PA 15530-1344 Ph: (814) 267-6440 | Bradley Garrett Fairman, DC 537 Main St, Berlin, PA 15530-1344 Ph: (814) 267-6440 |
Dr. Glenn Wayne Kreinbrook, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 429 Main St, Apt#10, Berlin, PA 15530 Phone: 814-267-4355 | |
Fairman Family Chiropractic P C Chiropractor Medicare: Medicare Enrolled Practice Location: 537 Main St, Berlin, PA 15530 Phone: 814-267-6440 Fax: 814-267-6442 | |
Dr. Jay Michael Kennedy, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 808 Diamond St, Berlin, PA 15530 Phone: 814-267-5830 Fax: 814-267-6103 | |
Crystal Lynn Fairman, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 537 Main St, Berlin, PA 15530 Phone: 814-267-6440 Fax: 814-267-6442 |