Darius Kemar Bradford, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

112360 Issued in IA

Practice address

215 West St
Grinnell, IA 50112-2313

Phone

(641) 990-2303

NPI assigned

Apr 15, 2021

Last updated

Mar 22, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Restore Chiropractic & Acupuncture, Inc

  • Chiropractor
  • Grinnell, IA
  • NPI 1992400451
  Medicare reassignment NPD Authorized official
• Jensen Family Chiropractic DC PC

  dba Jensen Family Chiropractic

  • Chiropractor
  • Greenfield, IA
  • NPI 1154482487
  NPD (past)

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1093396616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 WEST ST",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501122313",
            "telephone_number": "641-990-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 WEST ST",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501122313",
            "telephone_number": "641-990-2303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5143 W 98th St",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "MN",
            "postal_code": "554372040",
            "country_code": "US",
            "telephone_number": "952-881-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "DARIUS",
        "middle_name": "KEMAR",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-15",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6834",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "112360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendi Lynn Beck, PA-C
• Katelyn Sue Beyer, PA
• Haley Bird, OTDR/L
• Eman Boulis, MD
• Jacob Daniel Boyer, PA-C
• Michelle Brennan, RDN, LD
• Jody Marie Brink, D.C.
• Brian James Brown, D.C.
• Jana R Brown, LISW
• Brittany Ann Michelle Buckner, MSN, RN, FNP-BC

• Chiropractor in Grinnell, IA
• Providers in Grinnell, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.