Bradley G Bills, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1090439 Issued in TX

Practice address

103 N College St
Clarksville, TX 75426-2982

Phone

(903) 428-0090

Fax

(903) 428-0093

NPI assigned

Jun 8, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chambers Outpatient Rehab Services, LLC

  • Physical Therapist
  • Mt Pleasant, TX
  • NPI 1356538136
  NPD (past)
• Physical Therapy Clinic of Paris LP

  • Orthopedic Physical Therapist
  • Hugo, OK
  • NPI 1568488179
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1073553673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 N COLLEGE ST",
            "city": "CLARKSVILLE",
            "state": "TX",
            "postal_code": "754262982",
            "telephone_number": "903-428-0090",
            "fax_number": "903-428-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N COLLEGE ST",
            "city": "CLARKSVILLE",
            "state": "TX",
            "postal_code": "754262982",
            "telephone_number": "903-428-0090",
            "fax_number": "903-428-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILLS",
        "first_name": "BRADLEY",
        "middle_name": "G",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "2634",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "TX",
            "license": "1090439",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1090439",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1090439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100835480A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "058539001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR PROVIDER NUMBER",
            "identifier": "120487",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "80814T",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "7680464",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Agnew, LCDC
• Avery I.S.D.
• B. C. Muthappa, M.D., P.a.
• Rachana Balusu
• Sandra Michelle Batts, CNA
• Brad Bills Physical Therapy Services
• Brad Bills Physical Therapy Services Inc
• Justin Brown, NP
• William Luther Bryson, PH
• Chambers County Public Hospital District No. 1

• Physical Therapist in Clarksville, TX
• Providers in Clarksville, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.