Bradley G Kelly (NPI# 1508973728, PAC ID# 8729089354) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1508973728 |
| PAC ID by PECOS | 8729089354 |
| Professional Enrollment ID | I20070125000105 |
| Full Name | Bradley G Kelly |
| Organization Legal Name | COASTAL PHYSICAL THERAPY LLC |
| Address |
580 5th St Suite 600 Brookings OR 97415-8329 |
| Phone Number | 5414697314 |
| Gender | M |
| Graduation Year | 1998 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 0648271254 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 580 5th St, Suite 600, Brookings, OR 97415-8329 | 5414697314 | COASTAL PHYSICAL THERAPY LLC |
| Organization Legal Name | COASTAL PHYSICAL THERAPY LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan E Brickley | Physical Therapy | Coastal Physical Therapy LLC | 580 5th St, Suite 600, Brookings, OR 97415-8329 |
| Street Address |
580 5TH ST SUITE 600 |
| City | BROOKINGS |
| State | OR |
| Zip | 97415-8329 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan E Brickley | Physical Therapy | Coastal Physical Therapy LLC | 580 5th St, Suite 600, Brookings, OR 97415-8329 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Walter S Murphy | Podiatry | 30 Winchuck Rd, Brookings, OR 97415 | |
| Jitendra C Patel | Internal Medicine | 97825 Shopping Ctr Ave, Brookings, OR 97415 | |
| Charles M Bourland | Chiropractic | 524 Spruce St, Suite 5, Brookings, OR 97415-0407 | |
| Ronn Mark Johnson | Psychologist, Clinical | Costa Clinical Psychology, LLC | 625 Spruce St, Suite 7666, Brookings, OR 97415-0408 |
| Jocelyn Gates | Clinical Social Worker | 604 Spruce St, Brookings, OR 97415-0408 | |
| Teresa I Costa | Psychologist, Clinical | Costa Clinical Psychology, LLC | 625 Spruce St, Suite 7666, Brookings, OR 97415-0408 |
| Douglas J Walker | Optometry | Eye Center of Brookings LLC | 937 Chetco Ave, Suite K4005, Brookings, OR 97415-2514 |
| Kristin J Gurholt | Optometry | Eye Center of Brookings LLC | 937 Chetco Ave, Suite K4005, Brookings, OR 97415-2514 |
| Jennifer M Boyle | Nurse Practitioner | 1101 Chetco Ave, Brookings, OR 97415-2515 | |
| William E Mcdougall | Internal Medicine | Oregon Coast Wellness Inc. | 648 Chetco Ave, Brookings, OR 97415-8010 |
| Find all physicians in zip 97415 | |||
| City | BROOKINGS |
| Zip Code | 97415 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | BROOKINGS + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Bradley G Kelly.
| 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.