Active NPI
Brad Pluckhan, D.C. a Chiropractic Corporation
- Chiropractor
- Gilroy, CA
National Provider Identifier
1093042244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC250920
- Legal business name
- BRAD PLUCKHAN, D.C. A CHIROPRACTIC CORPORATION
- Practice address
- 8060 Santa Teresa Blvd
Suite 110
Gilroy, CA 95020-3867 - Phone
- (408) 848-2225
- Fax
- (408) 842-6700
- NPI assigned
- Nov 9, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brad J Pluckhan, D.C.
- Title
- President
- Phone
- (408) 848-2225
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC250920 | CA | Primary |
| Physical Therapist | 225100000X | PT23508 | CA |
Addresses
Primary practice location
8060 Santa Teresa Blvd
Suite 110
Gilroy, CA 95020-3867
Mailing address
8060 Santa Teresa Blvd
Suite 110
Gilroy, CA 95020-3867
Phone (408) 848-2225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7888 Wren Ave
Ste D140
Gilroy, CA 95020
Phone (408) 848-2225
8060 Santa Teresa Blvd
Ste 110
Gilroy, CA 95020
Phone (408) 848-2225
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Gilroy, CA
- NPI 1598897142
-
- Chiropractor
- San Jose, CA
- NPI 1275544942
-
- Physical Therapist
- Gilroy, CA
- NPI 1841431020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1344384000000",
"number": "1093042244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8060 SANTA TERESA BLVD",
"address_2": "SUITE 110",
"city": "GILROY",
"state": "CA",
"postal_code": "950203867",
"telephone_number": "408-848-2225",
"fax_number": "408-842-6700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8060 SANTA TERESA BLVD",
"address_2": "SUITE 110",
"city": "GILROY",
"state": "CA",
"postal_code": "950203867",
"telephone_number": "408-848-2225",
"fax_number": "408-842-6700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRAD PLUCKHAN, D.C. A CHIROPRACTIC CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-09",
"last_updated": "2012-08-08",
"status": "A",
"authorized_official_last_name": "PLUCKHAN",
"authorized_official_first_name": "BRAD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "408-848-2225",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "DC250920",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT23508",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilroy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; 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.