Bradfield Revelo, in Albuquerque, NM - Physical Therapist

Bradfield Revelo, is a Physical Therapist based in Albuquerque, New Mexico. Bradfield Revelo is licensed to practice in New Mexico (license number 4548) and his current practice location is 7128 Vigo Ave Sw, Albuquerque, New Mexico. He can be reached at his office (for appointments etc.) via phone at (505) 274-5170.

NPI number for Bradfield Revelo is 1083098503 and his current mailing address is 7128 Vigo Ave Sw, Albuquerque, New Mexico. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083098503.

Contact Information

	Bradfield Revelo,
	7128 Vigo Ave Sw, Albuquerque, NM 87121-5460
	(505) 274-5170
	Not Available

Healthcare Provider's Profile

Full Name	Bradfield Revelo
Gender	Male
Speciality	Physical Therapist
Location	7128 Vigo Ave Sw, Albuquerque, New Mexico
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1083098503
Provider Enumeration Date: 07/14/2015
Last Update Date: 07/14/2015

Medical Identifiers

Medical identifiers for Bradfield Revelo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083098503	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	4548 (New Mexico)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bradfield Revelo is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Bradfield Revelo, 7128 Vigo Ave Sw, Albuquerque, NM 87121-5460 Ph: (505) 274-5170	Bradfield Revelo, 7128 Vigo Ave Sw, Albuquerque, NM 87121-5460 Ph: (505) 274-5170

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Bradfield Revelo, - Physical Therapist in Albuquerque, NM