Brad A Mouse (NPI# 1588604979, PAC ID# 6901951524) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1588604979 |
| PAC ID by PECOS | 6901951524 |
| Professional Enrollment ID | I20090903000556 |
| Full Name | Brad A Mouse |
| Address |
1101 Nw Pamela Blvd A Grain Valley MO 64029-7803 |
| Gender | M |
| Graduation Year | 1986 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260095 | CENTERPOINT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1101 Nw Pamela Blvd A, Grain Valley, MO 64029-7803 |
| Street Address |
1101 NW PAMELA BLVD A |
| City | GRAIN VALLEY |
| State | MO |
| Zip | 64029-7803 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samantha Lee Linville | Physical Therapy | Boost Sports Performance LLC | 1460 Nw Olympic Dr, Suite J, Grain Valley, MO 64029-7865 |
| John Michael Doerries | Physical Therapy | Serc Rehabilitation Partners LLC | 103 Sw Eagles Pkwy, Serc Grain Valley, Grain Valley, MO 64029-8512 |
| Asa Montana Shaffer | Physical Therapy | Serc Rehabilitation Partners LLC | 103 Sw Eagles Pkwy, Serc Grain Valley, Grain Valley, MO 64029-8512 |
| Megan A Hottel | Physician Assistant | University Health Physicians | 1439 S Minter Way, Grain Valley, MO 64029-9648 |
| Joseph L Nichols | Nurse Practitioner | Truman Medical Center Incorporated | 1439 Minter Way, Truman Medical Center Incorporated Grain Valley Fa, Grain Valley, MO 64029-9648 |
| Michelle L Hirsch | Nurse Practitioner | Truman Medical Center Incorporated | 1439 Minter Way, Truman Medical Center Incorporated Grain Valley Fa, Grain Valley, MO 64029-9648 |
| Cassie R Anderson | Nurse Practitioner | Truman Medical Center Incorporated | 1439 Minter Way, Truman Medical Center Incorporated Grain Valley Fa, Grain Valley, MO 64029-9648 |
| Catherine Ann Dowd | Chiropractic | 203 S Main St, Suite D, Grain Valley, MO 64029-9703 |
| City | GRAIN VALLEY |
| Zip Code | 64029 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | GRAIN VALLEY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Brad A Mouse.
| 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.