Bradford Thomas Butler, DC

Key facts

NPI

1073650776

Entity type

Individual (NPI type 1)

Primary specialty

Chiropractor 111N00000X

License

38MC00482500 (NJ)

Practice address

350 Ramapo Valley Rd
Oakland, NJ 07436-2702

Phone

(201) 651-9100

Fax

(201) 651-1142

NPI assigned

Jan 31, 2007

Sex

Male

Sole proprietor

No

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 and National Provider Directory roles.

• Chiropractic Works, LLC Chiropractor · Oakland, NJ · NPI 1043468895
  Medicare reassignment NPD Authorized official CHIROPRACTOR · NJ
• Oakland Spine and Physical Therapy of Wayne, LLC Physical Therapist · Wayne, NJ · NPI 1861270548
  Medicare reassignment NPD Authorized official CHIROPRACTOR · NJ
• Chiropractic Works of Wayne LLC Chiropractor · Wayne, NJ · NPI 1003209594
  NPD (past) CHIROPRACTOR
• Ospt of Clifton LLC Physical Medicine & Rehabilitation Physician · Clifton, NJ · NPI 1306665989
  NPD (past) CHIROPRACTOR

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NJ

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 7, 2018.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P932119",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0005202515",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSSSHIELD",
            "identifier": "202131675",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, NJ

• Sylvia Bucharowski, NP
• Richard Luther Bucher Jr., D.M.D.
• Navin Budhwani, MD
• Louis Burdman, PH.D
• Kara Busker, CCC/SLP
• Caroline Marie Caltavuturo, PTA
• Gail Forgrieve Canavan, APN
• Molly Marie Cannici
• Zachary Capote, OTR/L
• Michael Capozzi, PT, DPT

All providers in Oakland, NJ · Chiropractor in New Jersey