Bradley D Eggebraaten, PT | |
200 Patewood Dr, Ste C150, Greenville, SC 29615-3593 | |
(864) 454-0904 | |
Not Available |
Full Name | Bradley D Eggebraaten |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 36 Years |
Location | 200 Patewood Dr, Greenville, South Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508821109 | NPI | - | NPPES |
TH1774 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | PT5605 (Florida) | Secondary |
225100000X | Physical Therapist | 5436 (South Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Greenville Proaxis Therapy Llc | 0244267771 | 169 |
Provider Name | Greenville Proaxis Therapy Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1669457859 PECOS PAC ID: 0244267771 Enrollment ID: O20050726000769 |
Mailing Address | Practice Location Address |
---|---|
Bradley D Eggebraaten, PT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (630) 296-2223 | Bradley D Eggebraaten, PT 200 Patewood Dr, Ste C150, Greenville, SC 29615-3593 Ph: (864) 454-0904 |
Caitlyn Esther Soltes, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 29 N Academy St, Greenville, SC 29601 Phone: 864-331-1344 Fax: 864-331-1446 | |
Stephen Craig Miller, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 Doctors Dr, Greenville, SC 29605 Phone: 864-797-7320 | |
Charlotte Bocchino, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Patewood Dr, Ste C150, Greenville, SC 29615 Phone: 864-454-0904 | |
Madalyn Patricia Cregg, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 200 Patewood Dr Ste C150, Greenville, SC 29615 Phone: 864-454-0904 | |
Emily Mae Harrison, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1322 E Washington St Ste B1, Greenville, SC 29607 Phone: 642-729-4081 | |
Katerine Maria Gonzalez Gonzalez, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1904 Roper Mountain Rd, Greenville, SC 29615 Phone: 864-609-4006 | |
Sara Elizabeth Martin, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 103 N Main St, Ste 99, Greenville, SC 29601 Phone: 864-528-5728 |