Mr Bradley N Johnson, PHYSCIAL THERAPIST is a medicare enrolled "Physical Therapist" provider in Plain Dealing, Louisiana. His current practice location is
309 S Louisiana St, Plain Dealing, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(318) 326-7120.
Mr Bradley N Johnson is licensed to practice in Louisiana (license number 04136) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1790781516.
Healthcare Provider's Profile
Full Name | Mr Bradley N Johnson |
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Gender | Male |
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Speciality | Physical Therapist |
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Location | 309 S Louisiana St, Plain Dealing, Louisiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1790781516
- Provider Enumeration Date: 06/27/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2961501473
- Enrollment ID: I20070625000519
Medical Identifiers
Medical identifiers for Mr Bradley N Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790781516 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 04136 (Louisiana) | 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. Mr Bradley N Johnson 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 |
Mr Bradley N Johnson, PHYSCIAL THERAPIST 3838 Old Plain Dealing Rd, Plain Dealing, LA 71064-3424 Ph: (318) 326-5102 | Mr Bradley N Johnson, PHYSCIAL THERAPIST 309 S Louisiana St, Plain Dealing, LA 71064-3431 Ph: (318) 326-7120 |
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