Charles Edman Brockman, PT | |
2200 Ne Neff Rd, Ste 202, Tai - Central Oregon Bend, Bend, OR 97701-4281 | |
(541) 388-7738 | |
(541) 312-0121 |
Full Name | Charles Edman Brockman |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 29 Years |
Location | 2200 Ne Neff Rd, Bend, Oregon |
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 |
---|---|---|---|
1750367256 | NPI | - | NPPES |
P00952506 | Other | OR | RR MEDICARE |
181409 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 3101 (Oregon) | Primary |
225100000X | Physical Therapist | 1653 (Montana) | Secondary |
225100000X | Physical Therapist | 912 (Nevada) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Therapeutic Associates Inc | 0042116279 | 297 |
Provider Name | Therapeutic Associates Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1972589364 PECOS PAC ID: 0042116279 Enrollment ID: O20040205000432 |
Mailing Address | Practice Location Address |
---|---|
Charles Edman Brockman, PT 16083 Sw Upper Boones Ferry Rd, Ste. 300, Tigard, OR 97224-7736 Ph: (800) 219-8835 | Charles Edman Brockman, PT 2200 Ne Neff Rd, Ste 202, Tai - Central Oregon Bend, Bend, OR 97701-4281 Ph: (541) 388-7738 |
Alpine Physical Therapy & Spine Care Physical Therapist Medicare: Medicare Enrolled Practice Location: 336 Sw Cyber Dr, Suite 107, Bend, OR 97702 Phone: 541-382-5500 Fax: 541-389-5669 | |
Matthew Joseph Kirchoff, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2200 Ne Neff Rd, Suite 202, Bend, OR 97701 Phone: 541-388-7738 Fax: 541-312-0121 | |
Catherine Stone, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2366 Nw Lakeside Pl, Bend, OR 97701 Phone: 541-382-0479 | |
Jaqueline L Campagna, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-382-4321 | |
Nikki Peirtsegaele, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2185 Nw Shevlin Park Rd, Bend, OR 97703 Phone: 541-728-0713 | |
Craig Andrew Boswell, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 61615 Athletic Club Drive, Bend, OR 97702 Phone: 541-382-7890 Fax: 541-382-7498 | |
Erik Zamboni, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1558 Sw Nancy Way, Suite 104, Bend, OR 97702 Phone: 541-312-2004 |