Brad Traverse, is a
Speech-language Pathologist based in Etowah, Tennessee. Brad Traverse is licensed to practice in * (Not Available) (license number ) and his current practice location is
409 Grady Rd, Etowah, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(423) 263-1138.
NPI number for Brad Traverse is 1932948643 and his current mailing address is 11619 Lanesborough Way Apt 706, Farragut, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1932948643.
Healthcare Provider's Profile
| Full Name | Brad Traverse |
|---|
| Gender | Male |
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| Speciality | Speech-language Pathologist |
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| Location | 409 Grady Rd, Etowah, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1932948643
- Provider Enumeration Date: 05/22/2024
- Last Update Date: 05/22/2024
Medical Identifiers
Medical identifiers for Brad Traverse such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932948643 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | 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. Brad Traverse 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 |
|---|
Brad Traverse,
11619 Lanesborough Way Apt 706,
Farragut, TN 37934-7815
Ph: () - | Brad Traverse,
409 Grady Rd,
Etowah, TN 37331-1903
Ph: (423) 263-1138 |
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