Thomas a Brady Sports Medicine Center, PC

A Medicare group practice based in Tipton, IN: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 5991609281), with 120 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5991609281The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Orthopedic/Orthopedic Surgery, Part B Supplier - Clinic/Group Practice
Enrolled in
IN
Enrollments
4
Group size
100 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
10In 7 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20170131001573 IN DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1245506922
O20180604003085 IN DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1407251382
O20031119000777 IN Part B Supplier - Clinic/Group Practice 1467484212
O20100930063419 IN DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1467484212

NPIs in this group 3

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 120

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (120) or whom Care Compare lists as members (100).

Sources for this page