| Dr Bradley S Cordero, DPT | |
|
393 E 2nd N, Rexburg, ID 83440-1605 | |
| (208) 359-9570 | |
| Not Available |
| Full Name | Dr Bradley S Cordero |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 393 E 2nd N, Rexburg, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932494002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT-2897 (Idaho) | Primary |
| Provider Name | Idaho Lung And Heart |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1306608104 PECOS PAC ID: 3577092154 Enrollment ID: O20250128000802 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bradley S Cordero, DPT 393 E 2nd N, Rexburg, ID 83440-1605 Ph: (208) 359-9570 | Dr Bradley S Cordero, DPT 393 E 2nd N, Rexburg, ID 83440-1605 Ph: (208) 359-9570 |
Jakob Carstens, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 Professional Plz, Rexburg, ID 83440 Phone: 208-359-2500 Fax: 208-359-2502 | |
Clark Dabell, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Professional Plz, Rexburg, ID 83440 Phone: 208-359-2500 Fax: 208-359-2502 | |
Cordell Pickering, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 526 First American Cir Ste B, Rexburg, ID 83440 Phone: 208-534-7001 | |
Cody Lane Castellaw, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 393 E 2nd N, Rexburg, ID 83440 Phone: 208-359-9570 | |
Anthony Humphries, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 Professional Plz, Rexburg, ID 83440 Phone: 208-359-2500 Fax: 208-359-2502 | |
Trevor Brice Dimond, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 526 First American Cir, Rexburg, ID 83440 Phone: 208-534-7001 | |
Kristi Neibaur, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 Professional Plz, Rexburg, ID 83440 Phone: 208-359-2500 Fax: 208-359-2502 |