Brady Supriadi, DPT - Medicare Physical Therapist in Fontana, CA

Brady Supriadi, DPT is a medicare enrolled "Physical Therapist" provider in Fontana, California. He graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice California Luna Care Physical Therapy Pc and his current practice location is 8545 Sierra Ave, Fontana, California. You can reach out to his office (for appointments etc.) via phone at (909) 365-3557.

Brady Supriadi is licensed to practice in California (license number PT301113) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1346905841.

Contact Information

Brady Supriadi, DPT
8545 Sierra Ave,
Fontana, CA 92335-3868
(909) 365-3557
(909) 658-8987

Map and Direction




Healthcare Provider's Profile

Full NameBrady Supriadi
GenderMale
SpecialityPhysical Therapy
Experience5 Years
Location8545 Sierra Ave, Fontana, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Brady Supriadi graduated from medical school in 2019
  NPI Data:
  • NPI Number: 1346905841
  • Provider Enumeration Date: 11/01/2021
  • Last Update Date: 11/01/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9335530534
  • Enrollment ID: I20211223000592

Medical Identifiers

Medical identifiers for Brady Supriadi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346905841NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT301113 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
California Luna Care Physical Therapy Pc9638427834565

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Brady Supriadi allows following entities to bill medicare on his behalf.
Provider NameCalifornia Luna Care Physical Therapy Pc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1689162166
PECOS PAC ID: 9638427834
Enrollment ID: O20180803002123

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. Brady Supriadi 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 AddressPractice Location Address
Brady Supriadi, DPT
8545 Sierra Ave,
Fontana, CA 92335-3868

Ph: (909) 365-3557
Brady Supriadi, DPT
8545 Sierra Ave,
Fontana, CA 92335-3868

Ph: (909) 365-3557

Reviews and Comments


Physical Therapist in Fontana, CA

Sheila Ann Vanallen, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 9961 Sierra Ave, Building 3a, Fontana, CA 92335
Phone: 909-427-7727    
Walter Tablante De Jesus, RPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 13578 Hatcher Pl, Fontana, CA 92336
Phone: 909-641-1096    
Paula Ann Shearer,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 9961 Sierra Ave, Fontana, CA 92335
Phone: 909-427-4075    
Jeanie Salvador,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 9961 Sierra Avenue, Fontana, CA 92335
Phone: 909-427-7900    
Marissa Huma,
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 9961 Sierra Ave, Fontana, CA 92335
Phone: 951-295-4253    
Ing Chang,
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 9961 Sierra Ave, Fontana, CA 92335
Phone: 909-427-4075    
Dr. Candice Shearer, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 17284 Slover Ave, Fontana, CA 92337
Phone: 909-609-3800    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.