Active NPI
Bradley Richmond
- Chiropractor
- Midlothian, VA
National Provider Identifier
1003228487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- T63479203
- Practice address
- 2506 Crosstimbers CT
Midlothian, VA 23112-4031 - Phone
- (804) 594-7272
- NPI assigned
- May 20, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | T63479203 | VA | Primary |
Addresses
Primary practice location
2506 Crosstimbers CT
Midlothian, VA 23112-4031
Mailing address
2506 Crosstimbers CT
Midlothian, VA 23112-4031
Phone (540) 907-0626
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140804000036 | VA | Practitioner - Chiropractic | 5092931782 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3904 Meadowdale Blvd
North Chesterfield, VA 23234-5547
Phone (804) 271-7920
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T63479203 | VA | MD | Chiropractor |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412035200000",
"number": "1003228487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2506 CROSSTIMBERS CT",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231124031",
"telephone_number": "540-907-0626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2506 CROSSTIMBERS CT",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231124031",
"telephone_number": "804-594-7272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHMOND",
"first_name": "BRADLEY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-20",
"last_updated": "2014-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "T63479203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midlothian, VA
- Richmond Spine Interventions and Pain Center, PC
- Richmond Stress & Anxiety
- Richmond Therapy Consultants, Inc.
- Richmond Virginia Orthodontics of Midlothian, PLLC
- Richmond Wellness Center LLC
- James T. Rickman IV, DDS, PC
- Lee Saecker Ridens, PH.D.
- Rise and Thrive Pediatric Therapy
- Rise Counseling Services, PLLC
- Theresa Toomey Rittmann
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.