Mr Jordan Bradford Damm, is a
Rehabilitation Practitioner based in Grass Valley, California. Mr Jordan Bradford Damm is licensed to practice in California (license number ) and his current practice location is
988 Mccourtney Rd, Grass Valley, California. He can be reached at his office (for appointments etc.) via phone at
(530) 955-5147.
NPI number for Mr Jordan Bradford Damm is 1457623647 and his current mailing address is 500 Crown Point Cir Ste 120, Grass Valley, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457623647.
Healthcare Provider's Profile
Full Name | Mr Jordan Bradford Damm |
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Gender | Male |
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Speciality | Rehabilitation Practitioner |
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Location | 988 Mccourtney Rd, Grass Valley, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1457623647
- Provider Enumeration Date: 02/02/2012
- Last Update Date: 04/24/2025
Medical Identifiers
Medical identifiers for Mr Jordan Bradford Damm such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457623647 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (California) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
225400000X | Rehabilitation Practitioner | (California) | 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 Jordan Bradford Damm 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 |
Mr Jordan Bradford Damm, 500 Crown Point Cir Ste 120, Grass Valley, CA 95945-9561 Ph: (530) 955-5147 | Mr Jordan Bradford Damm, 988 Mccourtney Rd, Grass Valley, CA 95949-7400 Ph: (530) 955-5147 |
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