Bradley James Smith, PT is a medicare enrolled "Physical Therapist" provider in Kelseyville, California. He graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Physical Therapy. His current practice location is
5289 State St, Kelseyville, California. You can reach out to his office (for appointments etc.) via phone at
(707) 279-0881.
Bradley James Smith is licensed to practice in California (license number PT22821) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1407812019.
Healthcare Provider's Profile
| Full Name | Bradley James Smith |
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| Gender | Male |
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| Speciality | Physical Therapy |
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| Experience | 28 Years |
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| Location | 5289 State St, Kelseyville, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Bradley James Smith graduated from medical school in 1996
NPI Data:
- NPI Number: 1407812019
- Provider Enumeration Date: 04/22/2006
- Last Update Date: 05/25/2010
Medicare PECOS Information:
- PECOS PAC ID: 3274694005
- Enrollment ID: I20081211000266
Medical Identifiers
Medical identifiers for Bradley James Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1407812019 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | PT22821 (California) | 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 James Smith is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Bradley James Smith, PT
Po Box 551,
Kelseyville, CA 95451-0551
Ph: (707) 279-0881 | Bradley James Smith, PT
5289 State St,
Kelseyville, CA 95451
Ph: (707) 279-0881 |
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