| Russell Tyler Brant, | |
|
920 Cedar Lake Rd Ste S, Biloxi, MS 39532-2107 | |
| (228) 641-2880 | |
| Not Available |
| Full Name | Russell Tyler Brant |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 920 Cedar Lake Rd Ste S, Biloxi, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417703166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT6476 (Mississippi) | Primary |
| Provider Name | Exceed Of Ms Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1023895398 PECOS PAC ID: 9133577422 Enrollment ID: O20231128000019 |
| Mailing Address | Practice Location Address |
|---|---|
| Russell Tyler Brant, 920 Cedar Lake Rd Ste S, Biloxi, MS 39532-2107 Ph: (228) 641-2880 | Russell Tyler Brant, 920 Cedar Lake Rd Ste S, Biloxi, MS 39532-2107 Ph: (228) 641-2880 |
Madison Bridges, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2541 Pass Rd Ste F, Biloxi, MS 39531 Phone: 228-388-1002 Fax: 228-388-1006 | |
Dr. Joseph Camoratto, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 Fisher St, Biloxi, MS 39534 Phone: 228-376-5231 | |
Exceed Of Ms, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 920 Cedar Lake Rd Ste S, Biloxi, MS 39532 Phone: 228-324-9145 | |
Mr. Eric Matalubos Raneses, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 251 Eisenhower Dr Apt 394, Biloxi, MS 39531 Phone: 228-313-4724 | |
Morgan Aileen Lott, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 920 Cedar Lake Rd, Biloxi, MS 39532 Phone: 228-641-2880 | |
Mr. Rodney Keith Ganey, P.T., A.T.C Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1990 Popps Ferry Rd, Biloxi, MS 39532 Phone: 228-385-9000 | |
Alisha Farrish, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1720a Medical Park Dr, Suite 210, Biloxi, MS 39532 Phone: 228-392-9355 Fax: 228-392-5288 |