Darryl Lionel Bradley, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2001010035 Issued in MO

Practice address

4144 Lindell Blvd
Suite 214
Saint Louis, MO 63108-2927

Phone

(314) 371-2225

Fax

(314) 533-2404

NPI assigned

Feb 8, 2008

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 8, 2008.

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202428800000",
    "number": "1043498355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4144 LINDELL BLVD",
            "address_2": "SUITE 214",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082927",
            "telephone_number": "314-371-2225",
            "fax_number": "314-533-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4144 LINDELL BLVD",
            "address_2": "SUITE 214",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082927",
            "telephone_number": "314-371-2225",
            "fax_number": "314-533-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "DARRYL",
        "middle_name": "LIONEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2001010035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian William Bradley, P.T.
• Cameron Bradley
• Carole Leigh Bradley, PHARM.D.
• Cole Russell Bradley, B.A.
• Crystal Bradley
• Harry A. Bradley, PSYCHOLOGIST
• Jeffrey D Bradley, MD
• Jennifer K Bradley, LCSW
• Kristi Zerbes Bradley
• Leonard Eugene Bradley, MSE, CCDP-D, ICCDP-D

• All providers in Saint Louis, MO
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; 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.