Organization Active NPI

Stephen Bradford H'Doubler DC PC

  • Chiropractor
  • Springfield, MO
National Provider Identifier
1013194232
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006635 Issued in MO
Legal business name
STEPHEN BRADFORD H'DOUBLER DC PC
Practice address
2101 W Chesterfield Blvd
Suite A103
Springfield, MO 65807-6946
Phone
(417) 889-2400
Fax
(417) 889-2808
NPI assigned
Jan 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

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

Authorized official

Name
Dr. Stephen Bradford H'Doubler, DCNPI 1720179955
Title
President
Phone
(417) 889-2400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 006635 MO Primary

Addresses

Primary practice location

2101 W Chesterfield Blvd
Suite A103
Springfield, MO 65807-6946

Mailing address

2101 W Chesterfield Blvd
Suite A103
Springfield, MO 65807-6946
Phone (417) 889-2400

Other identifiers 1

IdentifierTypeStateIssuer
1720179955OtherINDIVIDUAL NPI #

Other names 1

  • H'Doubler Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111216000725 MO Part B Supplier - Clinic/Group Practice 8224203427 Receives reassigned benefits from 1 practitioner
Practice locations: Springfield, MO

National Provider Directory

National Provider Directory

Locations

2101 W Chesterfield Blvd
Ste A103
Springfield, MO 65807
Phone (417) 889-2400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1013194232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 W CHESTERFIELD BLVD",
            "address_2": "SUITE A103",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658076946",
            "telephone_number": "417-889-2400",
            "fax_number": "417-889-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 W CHESTERFIELD BLVD",
            "address_2": "SUITE A103",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658076946",
            "telephone_number": "417-889-2400",
            "fax_number": "417-889-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN BRADFORD H'DOUBLER DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "H'DOUBLER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "BRADFORD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-889-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "006635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI #",
            "identifier": "1720179955",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "H'Doubler Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.