| Mr Bruce G Brewer, PT, MSPT, CMTPT | |
|
3100 W Marshall St, Richmond, VA 23230-4706 | |
| (804) 342-5857 | |
| (804) 355-0408 |
| Full Name | Mr Bruce G Brewer |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 28 Years |
| Location | 3100 W Marshall St, Richmond, Virginia |
| 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 |
|---|---|---|---|
| 1780765925 | NPI | - | NPPES |
| P00177776 | Other | VA | MEDICARE RAILROAD |
| 225579 | Other | VA | BCBS PHYSICAL THERAPY |
| 010061512 | Medicaid | VA | |
| 7900156 | Other | VA | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2305201809 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tidewater Physical Therapy Llc | 6406759281 | 181 |
| Provider Name | Tidewater Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1457389595 PECOS PAC ID: 6406759281 Enrollment ID: O20041019001029 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Bruce G Brewer, PT, MSPT, CMTPT Po Box 69030, Baltimore, MD 21264-9030 Ph: (757) 873-2306 | Mr Bruce G Brewer, PT, MSPT, CMTPT 3100 W Marshall St, Richmond, VA 23230-4706 Ph: (804) 342-5857 |
Aryn Carlson Ix, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1901 Westwood Ave, Richmond, VA 23227 Phone: 804-278-8977 Fax: 804-278-8977 | |
Kathleen Wright, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3811 Fauquier Ave, Richmond, VA 23227 Phone: 804-261-5978 | |
Meagan Cohen, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1700 Willow Lawn Dr Ste 230, Richmond, VA 23230 Phone: 804-340-1193 | |
Dr. Laurel Hackett, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201 Broad Rock Blvd, Richmond, VA 23249 Phone: 804-675-5000 | |
Mr. Peter Vincent Catizone, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8906 W Broad St, Suite F, Richmond, VA 23294 Phone: 804-965-9990 Fax: 804-965-0997 | |
Mrs. Shereeta Mclane, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4101 Nine Mile Rd, Richmond, VA 23223 Phone: 804-222-1694 | |
Stephen Douglas Vesely Jr., DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3536 Grove Ave, Richmond, VA 23221 Phone: 804-673-9355 Fax: 804-359-8344 |