Bradfield Revelo, is a
Physical Therapist based in Albuquerque, New Mexico. Bradfield Revelo is licensed to practice in New Mexico (license number 4548) and his current practice location is
7128 Vigo Ave Sw, Albuquerque, New Mexico. He can be reached at his office (for appointments etc.) via phone at
(505) 274-5170.
NPI number for Bradfield Revelo is 1083098503 and his current mailing address is 7128 Vigo Ave Sw, Albuquerque, New Mexico. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083098503.
Provider's Profile
Full Name | Bradfield Revelo |
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Gender | Male |
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Speciality | Physical Therapist |
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Location | 7128 Vigo Ave Sw, Albuquerque, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1083098503
- Provider Enumeration Date: 07/14/2015
- Last Update Date: 12/26/2024
Medical Identifiers
Medical identifiers for Bradfield Revelo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083098503 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | R56456 (New Mexico) | Secondary |
225100000X | Physical Therapist | 4548 (New Mexico) | 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. Bradfield Revelo 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 |
Bradfield Revelo, 7128 Vigo Ave Sw, Albuquerque, NM 87121-5460 Ph: (505) 274-5170 | Bradfield Revelo, 7128 Vigo Ave Sw, Albuquerque, NM 87121-5460 Ph: (505) 274-5170 |
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