David Brice Wisdom, MSPT | |
308 Brynn Marr Rd, Jacksonville, NC 28546 | |
(910) 478-9701 | |
(910) 478-9703 |
Full Name | David Brice Wisdom |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 20 Years |
Location | 308 Brynn Marr Rd, Jacksonville, North 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 |
---|---|---|---|
1720358906 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | P17806 (North Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ideal Physical Therapy Of Texas Llc | 0547583809 | 278 |
Provider Name | Ideal Physical Therapy Of Texas Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1538573746 PECOS PAC ID: 0547583809 Enrollment ID: O20141218000890 |
Mailing Address | Practice Location Address |
---|---|
David Brice Wisdom, MSPT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | David Brice Wisdom, MSPT 308 Brynn Marr Rd, Jacksonville, NC 28546 Ph: (910) 478-9701 |
Erin M Ryan, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2453 Gum Branch Rd Ste 600, Jacksonville, NC 28540 Phone: 910-353-9800 Fax: 910-455-2083 | |
Kelsey Aldi, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 122 Branchwood Shopping Ctr, Jacksonville, NC 28546 Phone: 910-938-7555 | |
Dr. Taylor Chadwick Bryan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2453 Gum Branch Rd Ste 600, Jacksonville, NC 28540 Phone: 910-353-9800 Fax: 910-455-2083 | |
Mr. Frank J Mikloucich Jr., D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3060 Henderson Dr, Jacksonville, NC 28546 Phone: 910-346-3151 Fax: 910-346-2975 | |
Heather Koopman, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2000 Brabham Ave Ste 100, Jacksonville, NC 28546 Phone: 910-332-3800 Fax: 910-251-0421 | |
Darrin Eugene Madole, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 122 Branchwood Shopping Ctr, Jacksonville, NC 28546 Phone: 910-938-7555 Fax: 910-938-7544 | |
Jose Luis Dejesus, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 122 Branchwood Shopping Ctr, Jacksonville, NC 28546 Phone: 910-938-7555 Fax: 910-938-7544 |