Michael Brendan Brossman, PT | |
709 W Superior St, Wayland, MI 49348-1226 | |
(269) 792-4440 | |
Not Available |
Full Name | Michael Brendan Brossman |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 18 Years |
Location | 709 W Superior St, Wayland, Michigan |
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 |
---|---|---|---|
1073736476 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501013000 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ivyrehab Michigan Llc | 6901165893 | 95 |
Provider Name | Ivyrehab Michigan Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1104337120 PECOS PAC ID: 6901165893 Enrollment ID: O20180123001245 |
Mailing Address | Practice Location Address |
---|---|
Michael Brendan Brossman, PT 4763 Shady Pine Ln Se, Grand Rapids, MI 49546-6334 Ph: (616) 822-6269 | Michael Brendan Brossman, PT 709 W Superior St, Wayland, MI 49348-1226 Ph: (269) 792-4440 |
Chad William Sterk, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 709 W Superior St, Wayland, MI 49348 Phone: 269-792-4440 Fax: 616-965-2475 | |
Carlos Mata, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 709 W Superior St, Wayland, MI 49348 Phone: 269-792-4440 | |
Courtney Earles, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 709 W Superior St, Wayland, MI 49348 Phone: 269-792-4440 | |
Denise Jongekrijg, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 709 W Superior St, Wayland, MI 49348 Phone: 269-792-4440 Fax: 616-965-2475 | |
Matthew D Casterline, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 709 W Superior St, Wayland, MI 49348 Phone: 269-792-4440 | |
Jordan Defever, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 893 E Superior St, Wayland, MI 49348 Phone: 616-252-3433 |