Bradford Joseph Dewitt, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1145 Issued in MS

Practice address

15465 Oak LN Ste 100B
Gulfport, MS 39503-2663

Phone

(228) 832-0846

Fax

(228) 832-0856

NPI assigned

Apr 27, 2009

Last updated

Aug 13, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• MS PPO
• AL HMO D-SNP
• devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
• MS PPO C-SNP
• LA PPO C-SNP
• TN PPO C-SNP
• MS PPO D-SNP
• AL HMO
• devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
• devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
• TN PPO

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dewitt Chiropractic, PLLC

  • Chiropractor
  • Gulfport, MS
  • NPI 1285958868
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1013151638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15465 OAK LN STE 100B",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032663",
            "telephone_number": "228-832-0846",
            "fax_number": "228-832-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15465 OAK LN STE 100B",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032663",
            "telephone_number": "228-832-0846",
            "fax_number": "228-832-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWITT",
        "first_name": "BRADFORD",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-27",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dfas-CL/JFLB
• Diabetes Clinic of the Coast, PLLC
• Diane E Ross MD PA
• Diane Ross MD
• Karen Gissel Diaz

• Chiropractor in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Chiropractor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.