Individual provider Active NPI

Bradly Preston Carrier, D.C.

  • Chiropractor
  • Greenville, TX
National Provider Identifier
1073522850
Registry record updated Jun 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7269 Issued in TX
Practice address
2609 Eastland St
Greenville, TX 75402-8916
Phone
(903) 454-3043
Fax
(903) 455-0339
NPI assigned
Aug 7, 2006
Last updated
Jun 17, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7269 TX Primary

Addresses

Primary practice location

2609 Eastland St
Greenville, TX 75402-8916

Mailing address

10806 Hunters Run
Greenville, TX 75402
Phone (903) 455-2455

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110118000383 TX Practitioner - Chiropractic 3971680307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carrier Family Chiropractic, P.a.Group PAC ID 6709963135, 2 clinicians

Practice addresses (Care Compare)

2609 Eastland Ave
Greenville, TX 75402-8906
Phone (903) 454-3043

2609 Eastland St
Greenville, TX 75402-8916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7269TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Carrier Family Chiropractic, P.a. Chiropractor CurrentSince Apr 1, 1997 Accepting new patients
Specialty Physician Group LLC Past Accepting new patients
Cardiovascular Specialist , P.C. Past Accepting new patients

Locations

2609 Eastland Ave
Greenville, TX 75402
Phone (903) 454-3043

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245196800000",
    "number": "1073522850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10806 HUNTERS RUN",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "75402",
            "telephone_number": "903-455-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 EASTLAND ST",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754028916",
            "telephone_number": "903-454-3043",
            "fax_number": "903-455-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRIER",
        "first_name": "BRADLY",
        "middle_name": "PRESTON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2009-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "7269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; 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.