Bradley Carroll, is a
Case Manager/care Coordinator based in Fairmont, West Virginia. Bradley Carroll is licensed to practice in * (Not Available) (license number ) and his current practice location is
909 Morgantown Ave, Fairmont, West Virginia. He can be reached at his office (for appointments etc.) via phone at
(304) 816-9051.
NPI number for Bradley Carroll is 1215340773 and his current mailing address is 909 Morgantown Ave, Fairmont, West Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215340773.
Healthcare Provider's Profile
Full Name | Bradley Carroll |
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Gender | Male |
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Speciality | Case Manager/care Coordinator |
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Location | 909 Morgantown Ave, Fairmont, West Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1215340773
- Provider Enumeration Date: 06/03/2014
- Last Update Date: 11/08/2022
Medical Identifiers
Medical identifiers for Bradley Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215340773 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 2012-2932 (West Virginia) | Secondary |
225700000X | Massage Therapist | M04990 (Maryland) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bradley Carroll is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Bradley Carroll, 909 Morgantown Ave, Fairmont, WV 26554-4335 Ph: (304) 816-9051 | Bradley Carroll, 909 Morgantown Ave, Fairmont, WV 26554-4335 Ph: (304) 816-9051 |
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