| Mr Bradley William Minich, MPT | |
|
4517 Southlake Pkwy, Hoover, AL 35244-3280 | |
| (205) 985-4111 | |
| Not Available |
| Full Name | Mr Bradley William Minich |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 21 Years |
| Location | 4517 Southlake Pkwy, Hoover, Alabama |
| 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 |
|---|---|---|---|
| 1093900045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | PTH5159 (Alabama) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Orthopaedic Alliance Pllc | 2365800604 | 98 |
| Provider Name | Southlake Orthopaedics Sports Medicine & Spine Center, Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1043268402 PECOS PAC ID: 9335137470 Enrollment ID: O20040505001364 |
| Provider Name | Southern Orthopaedic Alliance Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1588364228 PECOS PAC ID: 2365800604 Enrollment ID: O20230620001264 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Bradley William Minich, MPT 4517 Southlake Pkwy, Hoover, AL 35244-3280 Ph: (205) 985-4111 | Mr Bradley William Minich, MPT 4517 Southlake Pkwy, Hoover, AL 35244-3280 Ph: (205) 985-4111 |
Alexandria Daigler, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1401 Gables Dr, Hoover, AL 35244 Phone: 205-318-9060 | |
Elizabeth Wilsman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3421 S Shades Crest Rd Ste 107, Hoover, AL 35244 Phone: 205-987-6501 Fax: 205-987-6503 | |
Taylor Tolleson, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 771 Shades Mountain Plz, Hoover, AL 35226 Phone: 205-718-8011 Fax: 205-453-1628 | |
Emily Sansom, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2279 Valleydale Rd Ste 200, Hoover, AL 35244 Phone: 205-874-9523 | |
Savannah Ayres Ruud, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3057 Lorna Rd Ste 220, Hoover, AL 35216 Phone: 205-978-9939 | |
Matthew Clay Avromov, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1713 Montgomery Hwy Ste 131, Hoover, AL 35244 Phone: 205-403-8701 Fax: 205-403-8702 | |
Mrs. Amy Bowers King, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2970 Lorna Rd, Hoover, AL 35216 Phone: 205-979-2619 Fax: 205-979-3606 |