| Brady J Church, DPT | |
|
1707 W 20th St, Laurel, MS 39440-1802 | |
| (601) 428-2004 | |
| (601) 428-8833 |
| Full Name | Brady J Church |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 15 Years |
| Location | 1707 W 20th St, Laurel, Mississippi |
| 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 |
|---|---|---|---|
| 1881973329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 6627 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peak Physical Therapy Llc | 2769997287 | 3 |
| Gptrs Ii | 2860527108 | 8 |
| Provider Name | Gptrs Ii |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1174851984 PECOS PAC ID: 2860527108 Enrollment ID: O20160215002532 |
| Mailing Address | Practice Location Address |
|---|---|
| Brady J Church, DPT 1707 W 20th St, Laurel, MS 39440-1802 Ph: (601) 428-2004 | Brady J Church, DPT 1707 W 20th St, Laurel, MS 39440-1802 Ph: (601) 428-2004 |
Mrs. Melinda Danette Chancellor, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4119 Fax: 601-426-4768 | |
Kourtney Flowers Murphy, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23 Mason St, Laurel, MS 39440 Phone: 601-399-0534 | |
Mr. Tom A Hall, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-399-0534 | |
Mr. George G Collins Jr., P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4119 | |
Joseph P Cooley Jr., PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1707 W 20th St, Laurel, MS 39440 Phone: 601-428-2004 Fax: 601-428-8833 | |
Mr. Kyle Brannon Crager, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23 Mason St, Laurel, MS 39440 Phone: 607-399-0534 | |
Mr. Joel Hudson Pierce, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23 Mason St, Laurel, MS 39440 Phone: 601-399-0534 |