Dr Brendan Clark Tanner, PT, DPT, NCS is a
Physical Therapist based in Maplewood, Missouri. Dr Brendan Clark Tanner is licensed to practice in Missouri (license number 2002027897) and his current practice location is
3145 Walter Ave, Maplewood, Missouri. He can be reached at his office (for appointments etc.) via phone at
(314) 607-6384.
NPI number for Dr Brendan Clark Tanner is 1003385634 and his current mailing address is 3145 Walter Ave, Maplewood, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003385634.
Healthcare Provider's Profile
Full Name | Dr Brendan Clark Tanner |
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Gender | Male |
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Speciality | Physical Therapist |
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Location | 3145 Walter Ave, Maplewood, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003385634
- Provider Enumeration Date: 11/13/2018
- Last Update Date: 11/13/2018
Medical Identifiers
Medical identifiers for Dr Brendan Clark Tanner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003385634 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 2002027897 (Missouri) | 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. Dr Brendan Clark Tanner 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 |
Dr Brendan Clark Tanner, PT, DPT, NCS 3145 Walter Ave, Maplewood, MO 63143-3913 Ph: () - | Dr Brendan Clark Tanner, PT, DPT, NCS 3145 Walter Ave, Maplewood, MO 63143-3913 Ph: (314) 607-6384 |
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