Bradley W Minich (NPI# 1093900045, PAC ID# 9931165800) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1093900045 |
| PAC ID by PECOS | 9931165800 |
| Professional Enrollment ID | I20180614001092 |
| Full Name | Bradley W Minich |
| Organization Legal Name | SOUTHLAKE ORTHOPAEDICS SPORTS MEDICINE AND SPINE CENTER PC |
| Address |
3686 Grandview Pkwy Suite 430 Birmingham AL 35243-3404 |
| Phone Number | 2056058180 |
| Gender | M |
| Credential | PT |
| Graduation Year | 2005 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 9335137470 |
| Number of Group Practice Members | 40 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3686 Grandview Pkwy, Suite 430, Birmingham, AL 35243-3404 | 2056058180 | SOUTHLAKE ORTHOPAEDICS SPORTS MEDICINE AND SPINE CENTER PC |
| 4517 Southlake Pkwy, Hoover, AL 35244-3280 | 2059854111 | SOUTHLAKE ORTHOPAEDICS SPORTS MEDICINE AND SPINE CENTER PC |
| Organization Legal Name | SOUTHLAKE ORTHOPAEDICS SPORTS MEDICINE AND SPINE CENTER PC |
| Physicians | 31 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William D Sudduth | Orthopedic Surgery | Southlake Orthopaedics Sports Medicine and Spine Center PC | 4517 Southlake Pkwy, Hoover, AL 35244-3280 |
| Dewey Hobson Jones Iv | Orthopedic Surgery | Southlake Orthopaedics Sports Medicine and Spine Center PC | 4517 Southlake Pkwy, Hoover, AL 35244-3280 |
| Ekkehard Bonatz | Hand Surgery | Southlake Orthopaedics Sports Medicine and Spine Center PC | 4517 Southlake Pkwy, Hoover, AL 35244-3280 |
| Micah Morgan | Nurse Practitioner | Southlake Orthopaedics Sports Medicine and Spine Center PC | 4517 Southlake Pkwy, Hoover, AL 35244-3280 |
| Christopher A Heck | Orthopedic Surgery | Southlake Orthopaedics Sports Medicine and Spine Center PC | 4517 Southlake Pkwy, Hoover, AL 35244-3280 |
| Jason P Greer | Physical Therapy | Southlake Orthopaedics Sports Medicine and Spine Center PC | 4517 Southlake Pkwy, Hoover, AL 35244-3280 |
| Emily Mullady | Physician Assistant | Southlake Orthopaedics Sports Medicine and Spine Center PC | 4517 Southlake Pkwy, Hoover, AL 35244-3280 |
| Rachel Mallory Smith | Physical Therapy | Southlake Orthopaedics Sports Medicine and Spine Center PC | 4517 Southlake Pkwy, Hoover, AL 35244-3280 |
| Michael Smith | Hand Surgery | Southlake Orthopaedics Sports Medicine and Spine Center PC | 4517 Southlake Pkwy, Hoover, AL 35244-3280 |
| Michael T Ellerbusch | Physical Medicine and Rehabilitation | Southlake Orthopaedics Sports Medicine and Spine Center PC | 4517 Southlake Pkwy, Hoover, AL 35244-3280 |
| Street Address |
3686 GRANDVIEW PKWY SUITE 430 |
| City | BIRMINGHAM |
| State | AL |
| Zip | 35243-3404 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jorge Arturo Pino | Internal Medicine | Affinity Physician Services, LLC | 3686 Grandview Pkwy, Suite 800, Birmingham, AL 35243-3408 |
| Gustavo Xavier Morales | Cardiac Electrophysiology | Affinity Cardiovascular Specialists LLC | 3686 Grandview Pkwy, Suite 720, Birmingham, AL 35243-3326 |
| Heather Waldrup | General Surgery | Advanced Surgeons, PC | 3686 Grandview Pkwy, Suite 400, Birmingham, AL 35243-3404 |
| Donny Debajyoti Kakati | Gastroenterology | Birmingham Gastroenterology Associates PC | 3686 Grandview Pkwy, Suite 620, Birmingham, AL 35243-3406 |
| Jennifer Jarrett Cothron | Nurse Practitioner | Pulmonary Associates of The Southeast PC | 3686 Grandview Pkwy, Suite 500, Birmingham, AL 35243-3509 |
| Virginia N Winston | Obstetrics/gynecology | Women's Health Specialists of Birmingham Inc | 3686 Grandview Pkwy, Suite 300, Birmingham, AL 35243-3404 |
| Toni Lagan | Nurse Practitioner | Affinity Cardiovascular Specialists LLC | 3686 Grandview Pkwy, Suite 720, Birmingham, AL 35243-3326 |
| John G Touliatos | General Surgery | Advanced Surgeons, PC | 3686 Grandview Pkwy, Suite 400, Birmingham, AL 35243-3404 |
| Taneaka Rowe-houser | Nurse Practitioner | Affinity Cardiovascular Specialists LLC | 3686 Grandview Pkwy, Suite 720, Birmingham, AL 35243-3326 |
| William S Pennington Jr. | General Surgery | Advanced Surgeons, PC | 3686 Grandview Pkwy, Suite 400, Birmingham, AL 35243-3404 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen M Fountain | Physical Therapy | Birmingham Physical Therapy and Sports Medicine | 3234 Cahaba Heights Rd, Birmingham, AL 35243-1614 |
| Beth E Nicholson | Occupational Therapy | 3234 Cahaba Heights Rd, Vestavia, AL 35243-1614 | |
| William James Oldfield | Physical Therapy | Birmingham Physical Therapy and Sports Medicine | 3234 Cahaba Heights Rd, Birmingham, AL 35243-1614 |
| Julie W Beavers | Physical Therapy | Birmingham Physical Therapy and Sports Medicine | 3234 Cahaba Heights Rd, Birmingham, AL 35243-1614 |
| Christopher J Fountain | Physical Therapy | Birmingham Physical Therapy and Sports Medicine | 3234 Cahaba Heights Rd, Birmingham, AL 35243-1614 |
| George S Collins | Physical Therapy | Birmingham Physical Therapy and Sports Medicine | 3234 Cahaba Heights Rd, Birmingham, AL 35243-1614 |
| Kimberly Freind Dunn | Physical Therapy | Birmingham Physical Therapy and Sports Medicine | 3234 Cahaba Heights Rd, Birmingham, AL 35243-1614 |
| Ellen R Hamilton | Physical Therapy | Birmingham Physical Therapy and Sports Medicine | 3234 Cahaba Heights Rd, Birmingham, AL 35243-1614 |
| David F Wynne | Internal Medicine | 3570 Grandview Pkwy, 100a, Birmingham, AL 35243-2033 | |
| Mamatha Gandhi | Internal Medicine | Nephrology Medical Associates of Georgia, LLC | 3570 Grandview Pkwy, Suite 101, Birmingham, AL 35243-2065 |
| Find all physicians in zip 35243 | |||
| City | BIRMINGHAM |
| Zip Code | 35243 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | BIRMINGHAM + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on Bradley W Minich.
| 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.