MR. BRADLEY WILLIAM MINICH (MPT) – Orthopedic Physical Therapist, NPI 1093900045

MR. BRADLEY WILLIAM MINICH (MPT) is a healthcare provider. based in Hoover, Alabama. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MPT. They hold a License No. PTH5159 (AL). The NPI Number for MR. BRADLEY WILLIAM MINICH (MPT) is 1093900045

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
MR. BRADLEY WILLIAM MINICH (MPT)
NPI
1093900045
Phone
(205) 560-0770
Address
1425 BROCKS TRCE
Enumeration Date
12 September 2007
Last Update Date
5 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2059854111
Graduation Year
2005 (21 years ago)
PAC ID
9931165800
Group Practice PAC ID
2365800604
Professional Enrollment ID
I20080606000643
Address ID
AL352443280HO4517XPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,476 PHYSICAL THERAPIST IN PRIVATE PRACTICE in AL

Provider Addresses for MR. BRADLEY WILLIAM MINICH (MPT)

  • 1425 BROCKS TRCE

    HOOVER, AL 352443956

    Phone: (205) 560-0770

    Type: Mailing

  • 4517 SOUTHLAKE PKWY

    HOOVER, AL 352443280

    Phone: (205) 985-4111

    Type: Mailing

  • 7191, Cahaba Valley Road, Birmingham, Shelby County, Alabama, 35242, United States

    BIRMINGHAM, AL 352426402

    Phone: (205) 408-6450

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-06-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080606000643IPhysical Therapist In Private PracticeALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes47649$0
97530Therapy procedure using functional activities27451$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care20435$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes17131$0
97140Therapy procedure using manual technique, each 15 minutes13732$0
View full utilization report →

Insurance plans in this area (ZIP 35244)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365800604View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeGA
Orthopedic SurgeryAL
Orthopedic SurgeryAL
Physician AssistantAL
Diagnostic RadiologyAL
Orthopedic SurgeryAL
Orthopedic SurgeryAL
Physician AssistantAL
Hand Surgery, Orthopedic SurgeryAL
Orthopedic SurgeryAL

Reviews

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Frequently asked questions

Does MR. BRADLEY WILLIAM MINICH (MPT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MR. BRADLEY WILLIAM MINICH (MPT) uses 1093900045.
Does the file indicate MR. BRADLEY WILLIAM MINICH (MPT) is practicing under active NPI?
Directory data currently reports MR. BRADLEY WILLIAM MINICH (MPT) as active.
What healthcare role does MR. BRADLEY WILLIAM MINICH (MPT) hold?
Scheduling teams often label MR. BRADLEY WILLIAM MINICH (MPT) under Orthopedic Physical Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for MR. BRADLEY WILLIAM MINICH (MPT)?
MR. BRADLEY WILLIAM MINICH (MPT)'s geographic hint is Hoover, Alabama in our summary view.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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