Provider Demographics
NPI:1235581950
Name:BRIGAGLIANO, BRADLEY (PT,DPT, CSCS)
Entity Type:Individual
Prefix:
First Name:BRADLEY
Middle Name:
Last Name:BRIGAGLIANO
Suffix:
Gender:M
Credentials:PT,DPT, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8000 LIBERTY PKWY
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35242-7561
Mailing Address - Country:US
Mailing Address - Phone:205-968-8071
Mailing Address - Fax:
Practice Address - Street 1:8000 LIBERTY PKWY
Practice Address - Street 2:
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35242-7561
Practice Address - Country:US
Practice Address - Phone:205-968-8071
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-06
Last Update Date:2016-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPT8009225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist