Bradley D Agan (NPI# 1356894273, PAC ID# 5193012466) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1356894273 |
| PAC ID by PECOS | 5193012466 |
| Professional Enrollment ID | I20170615000961 |
| Full Name | Bradley D Agan |
| Address |
1297 Bryan Rd O Fallon MO 63366-3729 |
| Gender | M |
| Medical School | LOGAN COLLEGE OF CHIROPRACTIC |
| Graduation Year | 2015 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260200 | SSM ST JOSEPH HOSPITAL WEST |
| Address | Phone | Organization |
|---|---|---|
| 1297 Bryan Rd, O Fallon, MO 63366-3729 |
| Street Address |
1297 BRYAN RD |
| City | O FALLON |
| State | MO |
| Zip | 63366-3729 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara A Carter | Clinical Social Worker | 103 Lincoln St, O Fallon, MO 63366-1603 | |
| Mackenzie L Lester | Clinical Social Worker | 103 Lincoln St, O Fallon, MO 63366-1603 | |
| Lara Burnett | Nurse Practitioner | Ssm Medical Group Inc | 920 N Main St, O Fallon, MO 63366-1746 |
| Philip G Holtgrave | Nurse Practitioner | Ssm Medical Group Inc | 920 N Main St, O Fallon, MO 63366-1746 |
| Karen R Schroeder | Nurse Practitioner | Ssm Medical Group Inc | 920 N Main St, O Fallon, MO 63366-1746 |
| Kevin L Threlkeld | Internal Medicine | 204 N Main St, O Fallon, MO 63366-2203 | |
| Matthew W Meier | Internal Medicine | 1002 Peruque Crossing Ct, Suite 102, O Fallon, MO 63366-2362 | |
| Kevin David Weikart | Internal Medicine | 1002 Peruque Crossing Court, Suite 101, Ofallon, MO 63366-2362 | |
| Ananda Desilva | Internal Medicine | Hinton Healthcare Group | 1002 Peruque Crossing Ct, Suite 101, O Fallon, MO 63366-2362 |
| Jessica May Henman | Certified Nurse Midwife | Birth and Wellness Center LLC | 769 W Terra Lane, Ofallon, MO 63366-2432 |
| Find all physicians in zip 63366 | |||
| City | O FALLON |
| Zip Code | 63366 |
| Specialty | CHIROPRACTIC |
| City + Specialty | O FALLON + CHIROPRACTIC |
Please comment or provide details below to improve the information on Bradley D Agan.
| 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.