Calvin L Braddock, PT
Physical Therapist in Starkville, Mississippi
1679449185- Practice location
- 74 Claiborne Way, Starkville, MS 39759-8544
- Phone
- 877-407-3422
- Fax
- 877-407-4329
- Last updated
- October 13, 2025
Calvin L. Braddock is a Physical Therapist based in Starkville, MS. Calvin L. Braddock practices in Starkville, MS and has the professional credentials of PT. The NPI Number for Calvin L. Braddock is 1679449185 and holds a License No. 1271 (MS). The current practice location address for Calvin L. Braddock is 74 Claiborne Way, Starkville, MS 39759-8544 and can be reached out via phone at 877-407-3422 and via fax at 877-407-4329.
Provider Profile Details
- NPI Number
- 1679449185
- Provider Name
- Calvin L. Braddock
- Credential
- PT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 74 Claiborne Way, Starkville, MS 39759-8544
- Phone Number
- 877-407-3422
- Fax Number
- 877-407-4329
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 13, 2025
- Last Update Date
- October 13, 2025
- Certification Date
- October 13, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 74 Claiborne Way
Starkville, MS 39759-8544 - City
- Starkville
- State
- Mississippi
- Zip
- 39759-8544
- Phone Number
- 877-407-3422
- Fax Number
- 877-407-4329
Provider Business Mailing Address Details
- Address
- 7 Carnegie Plz
Cherry Hill, NJ 08003-1000 - City
- Cherry Hill
- State
- NJ
- Zip
- 08003-1000
- Phone Number
- 877-407-3422
- Fax Number
- 877-407-4329
License Information
- License Number
- 1271
- License State
- MS
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Calvin L Braddock, PT?
The NPI number of Calvin L Braddock, PT is 1679449185. It was assigned on October 13, 2025 and is currently active in the NPPES registry.
What is the specialty of Calvin L Braddock, PT?
Calvin L Braddock, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MS under license number 1271.
Where does Calvin L Braddock, PT practice?
The practice location is 74 Claiborne Way, Starkville, MS 39759-8544. The office can be reached at 877-407-3422 (phone) or 877-407-4329 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679449185 directly on the NPPES registry website.