Active NPI
Grant Bradford Barker
- Chiropractor
- Edgewater, FL
National Provider Identifier
1023574373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH12598
- Practice address
- 201 S Ridgewood Ave
Suite 11
Edgewater, FL 32132 - Phone
- (386) 423-7575
- NPI assigned
- Feb 12, 2019
- Last updated
- Feb 12, 2019
- 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 | CH12598 | FL | Primary |
Addresses
Primary practice location
201 S Ridgewood Ave
Suite 11
Edgewater, FL 32132
Mailing address
201 S Ridgewood Ave
Suite 11
Edgewater, FL 32132
Phone (386) 423-7575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH12598 | FL | MD | Chiropractor |
Interoperability endpoints
- grant.barker.1@31266.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549929600000",
"number": "1023574373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 S RIDGEWOOD AVE",
"address_2": "SUITE 11",
"city": "EDGEWATER",
"state": "FL",
"postal_code": "32132",
"telephone_number": "386-423-7575",
"fax_number": "386-423-8443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 S RIDGEWOOD AVE",
"address_2": "SUITE 11",
"city": "EDGEWATER",
"state": "FL",
"postal_code": "32132",
"telephone_number": "386-423-7575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARKER",
"first_name": "GRANT",
"middle_name": "BRADFORD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-02-12",
"last_updated": "2019-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH12598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edgewater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.