Bradley J Kenny (NPI# 1588623482, PAC ID# 3678487469) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
Nation Provider ID (NPI) | 1588623482 |
PAC ID by PECOS | 3678487469 |
Professional Enrollment ID | I20101203000982 |
Full Name | Bradley J Kenny |
Organization Legal Name | SHIFTING HEALTHCARE, LLC |
Address |
1702 Scheuring Rd Suite C De Pere WI 54115-9567 |
Phone Number | 9202271331 |
Gender | M |
Medical School | LOGAN COLLEGE OF CHIROPRACTIC |
Graduation Year | 1989 |
Primary Specialty | CHIROPRACTIC |
Group Practice PAC ID | 7719213511 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
1702 Scheuring Rd, Suite C, De Pere, WI 54115-9567 | 9202271331 | SHIFTING HEALTHCARE, LLC |
Organization Legal Name | SHIFTING HEALTHCARE, LLC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jennifer L Deneys | Physical Therapy | Shifting Healthcare, LLC | 1702 Scheuring Rd, Suite C, De Pere, WI 54115-9567 |
Street Address |
1702 SCHEURING RD SUITE C |
City | DE PERE |
State | WI |
Zip | 54115-9567 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jennifer L Deneys | Physical Therapy | Shifting Healthcare, LLC | 1702 Scheuring Rd, Suite C, De Pere, WI 54115-9567 |
Name | Specialty | Organization | Address |
---|---|---|---|
Cory D Madison | Chiropractic | 1251 Scheuring Rd, Suite A, De Pere, WI 54115-1003 | |
Michael David Harkins | Chiropractic | 1251 Scheuring Rd A, De Pere, WI 54115-1003 | |
Frances Stahl Ballo | Dermatology | Forefront Dermatology Sc | 1400 Scheuring Rd, De Pere, WI 54115-1067 |
David E Bertler | Dermatology | Forefront Dermatology Sc | 1400 Scheuring Rd, De Pere, WI 54115-1067 |
Beth Schroth-seiler | Physician Assistant | Forefront Dermatology Sc | 1400 Scheuring Rd, De Pere, WI 54115-1067 |
Bridget M Kilbride | Physician Assistant | Forefront Dermatology Sc | 1400 Scheuring Rd, De Pere, WI 54115-1067 |
Kenneth J Pechman | Dermatology | Forefront Dermatology Sc | 1400 Scheuring Rd, De Pere, WI 54115-1067 |
David M Kuphal | Physician Assistant | Forefront Dermatology Sc | 1400 Scheuring Rd, De Pere, WI 54115-1067 |
Kurt S Holst | Physician Assistant | Forefront Dermatology Sc | 1400 Scheuring Rd, De Pere, WI 54115-1067 |
John S Pujals | Dermatology | Forefront Dermatology Sc | 1400 Scheuring Rd, De Pere, WI 54115-1067 |
Find all physicians in zip 54115 |
City | DE PERE |
Zip Code | 54115 |
Specialty | CHIROPRACTIC |
City + Specialty | DE PERE + CHIROPRACTIC |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.