Individual provider Active NPI

Bradley James Hopkins, D.C.

  • Chiropractor
  • Hamburg, NY
National Provider Identifier
1053540666
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
011792 Issued in NY
Practice address
5449 Southwestern Blvd
Hamburg, NY 14075-3503
Phone
(716) 432-3898
Fax
(716) 646-0694
NPI assigned
Jul 6, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 011792 NY Primary

Addresses

Primary practice location

5449 Southwestern Blvd
Hamburg, NY 14075-3503

Mailing address

5449 Southwestern Blvd
Hamburg, NY 14075-3503
Phone (716) 432-3898

Other identifiers 1

IdentifierTypeStateIssuer
011792OtherNYNYS REGISTRATION

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100503000099 NY Practitioner - Chiropractic 4981732500 Reassigns benefits to 1 organization
Practice locations: Hamburg, NY; Silver Creek, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast College of Health SciencesGroup PAC ID 3779474549, 11 clinicians

Practice addresses (Care Compare)

39 Main St
Silver Creek, NY 14136-1416
Phone (716) 432-3898

4974 Transit Rd
Depew, NY 14043-4616
Phone (716) 685-9631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast College of Health Sciences Chiropractor CurrentSince May 9, 2018 Accepting new patients
Northeast College of Health Sciences Chiropractor CurrentSince May 9, 2018 Accepting new patients
Silver Creek Chiropractic PC Chiropractor Past Accepting new patients

Locations

4974 Transit Rd
Depew, NY 14043
Phone (716) 685-9631

2360 State Route 89
Seneca Falls, NY 13148
Phone (315) 568-3000

Organizations & group practices 3

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": "1246838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1053540666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5449 SOUTHWESTERN BLVD",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140753503",
            "telephone_number": "716-432-3898",
            "fax_number": "716-646-0694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5449 SOUTHWESTERN BLVD",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140753503",
            "telephone_number": "716-432-3898",
            "fax_number": "716-646-0694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPKINS",
        "first_name": "BRADLEY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-06",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "011792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS REGISTRATION",
            "identifier": "011792",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.