| Physical Express | |
|
4081 Alabama Hwy 14 Millbrook AL 36054 | |
| (334) 285-3222 | |
| (334) 285-6555 |
| Full Name | Physical Express |
|---|---|
| Speciality | Family Medicine |
| Location | 4081 Alabama Hwy 14, Millbrook, Alabama |
| Authorized Official Name and Position | Jade Lane (CREDENTIALING MANAGER) |
| Authorized Official Contact | 3345674311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Physical Express Po Box 688 Millbrook AL 36054-0014 Ph: (334) 285-3222 | Physical Express 4081 Alabama Hwy 14 Millbrook AL 36054 Ph: (334) 285-3222 |
| NPI Number | 1043362734 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 03/20/2025 |
| Medicare PECOS PAC ID | 3476531039 |
|---|---|
| Medicare Enrollment ID | O20050720000998 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043362734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Bruce A Kent |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336229608 PECOS PAC ID: 6103896220 Enrollment ID: I20040727001340 |
| Provider Name | Bibb Allen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538164785 PECOS PAC ID: 7810801545 Enrollment ID: I20050314000838 |
| Provider Name | Todd C Brightbill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619972874 PECOS PAC ID: 9537073168 Enrollment ID: I20050314000914 |
| Provider Name | Kristopher N Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750342556 PECOS PAC ID: 3375599418 Enrollment ID: I20050322001057 |
| Provider Name | Bradford E Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093996316 PECOS PAC ID: 7719920545 Enrollment ID: I20050602001050 |
| Provider Name | Matthew Larrison |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881659407 PECOS PAC ID: 8729099494 Enrollment ID: I20060509000504 |
| Provider Name | Joel Mixon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043261969 PECOS PAC ID: 5496767782 Enrollment ID: I20060705000275 |
| Provider Name | Gerald A Sweeney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003974551 PECOS PAC ID: 6103953096 Enrollment ID: I20100426000085 |
| Provider Name | Marcial J Mendez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407870504 PECOS PAC ID: 0547245573 Enrollment ID: I20100505000014 |
| Provider Name | Julia Morris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699956623 PECOS PAC ID: 6709042971 Enrollment ID: I20120717000342 |
| Provider Name | Mathieu Nader |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306003579 PECOS PAC ID: 2062652233 Enrollment ID: I20131216000241 |
| Provider Name | Manish Y Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205070851 PECOS PAC ID: 5991944068 Enrollment ID: I20140503000026 |
| Provider Name | Elizabeth Rena Bacchus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578952206 PECOS PAC ID: 9436479110 Enrollment ID: I20150520001319 |
| Provider Name | Maximilian Pyko |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477782969 PECOS PAC ID: 0648585810 Enrollment ID: I20150817002431 |
| Provider Name | Leslie Pendergrass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639541857 PECOS PAC ID: 1456661974 Enrollment ID: I20151112000584 |
| Provider Name | Marlene L Wilson-lavalley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275919698 PECOS PAC ID: 9436454741 Enrollment ID: I20160812001570 |
| Provider Name | Daniel James Israel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568721991 PECOS PAC ID: 0143464412 Enrollment ID: I20170831002922 |
| Provider Name | Christina Elizabeth Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386173060 PECOS PAC ID: 7618240136 Enrollment ID: I20170906000412 |
| Provider Name | Desmin Milner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740549187 PECOS PAC ID: 5294975975 Enrollment ID: I20170908002264 |
| Provider Name | Jennifer Hobbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518481050 PECOS PAC ID: 0345509915 Enrollment ID: I20180108000841 |
| Provider Name | Jeffrey Stevens |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164868212 PECOS PAC ID: 6608157664 Enrollment ID: I20180724001673 |
| Provider Name | Cory Allen Luckie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457708166 PECOS PAC ID: 5890071914 Enrollment ID: I20180927003316 |
| Provider Name | Jessica Elizabeth Robbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447725080 PECOS PAC ID: 1052648516 Enrollment ID: I20190807001700 |
| Provider Name | Nathan R Hewlett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770927287 PECOS PAC ID: 6406184449 Enrollment ID: I20200519001010 |
| Provider Name | Chad Cox |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518385384 PECOS PAC ID: 5597096776 Enrollment ID: I20200618003156 |
| Provider Name | Hali N Pearce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063973675 PECOS PAC ID: 7911235031 Enrollment ID: I20210128000697 |
| Provider Name | Luke Andrew Foshee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497304299 PECOS PAC ID: 5597158071 Enrollment ID: I20220204000856 |
| Provider Name | Katie Shiver Googe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093327199 PECOS PAC ID: 9234523242 Enrollment ID: I20220308000449 |
| Provider Name | Brent Jordan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194107839 PECOS PAC ID: 6709204639 Enrollment ID: I20220802001973 |
| Provider Name | Michael Z Kalter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619998028 PECOS PAC ID: 5294806691 Enrollment ID: I20240522002361 |
| Provider Name | Justin Owens |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457858698 PECOS PAC ID: 0244691210 Enrollment ID: I20240617004064 |
| Provider Name | Shankar Iyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568027860 PECOS PAC ID: 3476070129 Enrollment ID: I20250507000567 |
| Provider Name | Dana Bonaminio |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659606788 PECOS PAC ID: 9032355870 Enrollment ID: I20250512000767 |
| Provider Name | Stephen Cole |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740609684 PECOS PAC ID: 5890098180 Enrollment ID: I20250513000780 |
| Provider Name | Lee Rogers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720286487 PECOS PAC ID: 1456443787 Enrollment ID: I20250513002439 |
| Provider Name | Alyson Singh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770945966 PECOS PAC ID: 8820497704 Enrollment ID: I20250513003197 |
| Provider Name | Paul Yager |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790305282 PECOS PAC ID: 8921526963 Enrollment ID: I20250514001238 |
| Provider Name | Gabriel Starace |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992960298 PECOS PAC ID: 1052557907 Enrollment ID: I20250514001881 |
| Provider Name | Steven Shaba |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396909255 PECOS PAC ID: 4284804022 Enrollment ID: I20250514003184 |
| Provider Name | Reagan Leverett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902953870 PECOS PAC ID: 9133290562 Enrollment ID: I20250515002506 |
| Provider Name | Vineet Sharma |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508804337 PECOS PAC ID: 5597710863 Enrollment ID: I20250516000091 |
| Provider Name | Leomar Bautista |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477930337 PECOS PAC ID: 0042632226 Enrollment ID: I20250516002322 |
| Provider Name | Jeffrey Michael Huggett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447299698 PECOS PAC ID: 5092618256 Enrollment ID: I20250519003067 |
| Provider Name | Timothy Carter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053369413 PECOS PAC ID: 2062422611 Enrollment ID: I20250520004673 |
| Provider Name | Stephen Fisher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184990574 PECOS PAC ID: 9830466101 Enrollment ID: I20250520004944 |
| Provider Name | Michael C Cian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902845118 PECOS PAC ID: 7810899499 Enrollment ID: I20250521003530 |
| Provider Name | Lauren Gates |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811343015 PECOS PAC ID: 5799078879 Enrollment ID: I20250530000406 |
| Provider Name | Viraj K Parikh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134321235 PECOS PAC ID: 5496895898 Enrollment ID: I20250611001098 |
Rural Urgent Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 Highway 14, Millbrook, AL 36054 Phone: 256-854-9989 | |
Marla H Wohlman Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3351 Main St, Millbrook, AL 36054 Phone: 334-285-7808 Fax: 334-285-7810 | |
Tricounty Total Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5300 Oak Tree Rd, Ste H, Millbrook, AL 36054 Phone: 334-285-8282 Fax: 334-261-6113 | |
Millbrook Family Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2588 Main St, Millbrook, AL 36054 Phone: 334-285-5703 Fax: 334-285-5705 | |
Central Alabama Medical Contractors, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 Kelley Blvd Ste D, Millbrook, AL 36054 Phone: 334-245-2600 Fax: 334-245-2610 |