Francis Blake Bradford, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIRO009458 Issued in GA

Practice address

1290 W Spring St SE
Suite 130
Smyrna, GA 30080-3686

Phone

(770) 438-8990

Fax

(770) 438-1650

NPI assigned

Sep 5, 2013

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Edwin, Inc

  • Chiropractor
  • Smyrna, GA
  • NPI 1245358738
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433635200000",
    "number": "1003241407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 W SPRING ST SE",
            "address_2": "SUITE 130",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300803686",
            "telephone_number": "770-438-8990",
            "fax_number": "770-438-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 W SPRING ST SE",
            "address_2": "SUITE 130",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300803686",
            "telephone_number": "770-438-8990",
            "fax_number": "770-438-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "FRANCIS",
        "middle_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-05",
        "last_updated": "2015-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO009458",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010130",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maher Bourbia, DDS
• Julia Bowers
• Farrah Bowman, DC
• Steven D. Bowser, O.D.
• Rachael Lynn Braaten
• Alan Jamal Brady
• Ashley Michelle Bragg, PHARMD
• Tonicia Brandon, LAPC
• Destini R Brannon, PHARMD
• Brea Smyrna LLC

• Chiropractor in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.