Individual provider Active NPI

Brad Partridge, DC

  • Chiropractor
  • Henderson, NV
National Provider Identifier
1003326588
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B01783 Issued in NV
Practice address
1742 W Horizon Ridge Pkwy Ste 110
Henderson, NV 89012-4915
Phone
(725) 735-6910
Fax
(725) 735-6910
NPI assigned
Oct 10, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038013153 IL
Chiropractor 111N00000X B01783 NV Primary

Addresses

Primary practice location

1742 W Horizon Ridge Pkwy Ste 110
Henderson, NV 89012-4915

Mailing address

1742 W Horizon Ridge Pkwy Ste 110
Henderson, NV 89012-4915
Phone (725) 735-6910

Other practice location 1

1485 W Warm Springs Rd Ste 103
Henderson, NV 89014
Phone (801) 367-7968

Other practice location 2

1485 W Warm Springs Rd # Set103
Henderson, NV 89014-7631
Phone (801) 367-7968

Other practice location 3

1750 E Main St Ste 140
St Charles, IL 60174-2363
Phone (630) 584-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191217000652 NV Practitioner - Chiropractic 3678827128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1742 W Horizon Ridge Pkwy
Henderson, NV 89012-4916
Phone (725) 735-6910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
B01783NVMDChiropractor

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": "1507593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1003326588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1742 W HORIZON RIDGE PKWY STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890124915",
            "telephone_number": "725-735-6910",
            "fax_number": "725-735-6914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1742 W HORIZON RIDGE PKWY STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890124915",
            "telephone_number": "725-735-6910",
            "fax_number": "725-735-6910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1485 W Warm Springs Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "89014",
            "country_code": "US",
            "telephone_number": "801-367-7968",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1485 W Warm Springs Rd # Set103",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890147631",
            "country_code": "US",
            "telephone_number": "801-367-7968",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1750 E Main St Ste 140",
            "address_purpose": "LOCATION",
            "city": "St Charles",
            "state": "IL",
            "postal_code": "601742363",
            "country_code": "US",
            "telephone_number": "630-584-5200",
            "fax_number": "630-584-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARTRIDGE",
        "first_name": "BRAD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-10",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038013153",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B01783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.

Verify at the official NPI Registry.