Provider Demographics
NPI:1912186966
Name:GILDEN, BRAD M (DPT, FAAOMPT, PRC)
Entity Type:Individual
Prefix:DR
First Name:BRAD
Middle Name:M
Last Name:GILDEN
Suffix:
Gender:M
Credentials:DPT, FAAOMPT, PRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1445 E PUTNAM AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:OLD GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06870-1377
Mailing Address - Country:US
Mailing Address - Phone:203-983-5748
Mailing Address - Fax:203-869-1144
Practice Address - Street 1:1445 E PUTNAM AVE STE 2
Practice Address - Street 2:
Practice Address - City:OLD GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06870-1377
Practice Address - Country:US
Practice Address - Phone:203-983-5748
Practice Address - Fax:203-869-1144
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-26
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist