Individual provider Active NPI

Bradford Thomas Butler, DC

  • Chiropractor
  • Oakland, NJ
National Provider Identifier
1073650776
Registry record updated May 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00482500 Issued in NJ
Practice address
350 Ramapo Valley Rd
Oakland, NJ 07436-2702
Phone
(201) 651-9100
Fax
(201) 651-1142
NPI assigned
Jan 31, 2007
Last updated
May 7, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00482500 NJ Primary

Addresses

Primary practice location

350 Ramapo Valley Rd
Oakland, NJ 07436-2702

Mailing address

340 Ramapo Valley Rd
Oakland, NJ 07436-2711
Phone (201) 651-9100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040823000085 NJ Practitioner - Chiropractic 8527032994 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00482500NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Works, LLC Chiropractor CurrentSince Aug 1, 2008 Accepting new patients
Oakland Spine and Physical Therapy of Wayne, LLC Chiropractor CurrentSince Feb 1, 2024 Accepting new patients
Chiropractic Works of Wayne LLC Chiropractor Past Accepting new patients
Ospt of Clifton LLC Chiropractor PastSince Oct 2, 2024 Accepting new patients

Locations

306 Ramapo Valley Rd
Oakland, NJ 07436
Phone (201) 651-9100

340 Ramapo Valley Rd
Oakland, NJ 07436
Phone (201) 644-0860

350 Ramapo Valley Rd
Oakland, NJ 07436
Phone (201) 337-7300

1255 Hamburg Tpke
Wayne, NJ 07470
Phone (201) 465-4733

Organizations & group practices 4

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525651200000",
    "number": "1073650776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 RAMAPO VALLEY RD",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074362711",
            "telephone_number": "201-651-9100",
            "fax_number": "201-651-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 RAMAPO VALLEY RD",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074362702",
            "telephone_number": "201-651-9100",
            "fax_number": "201-651-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "BRADFORD",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2018-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00482500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; 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.