Bradley Edward Burns, D.C
Individual provider Active NPI Chiropractor · Berkeley, MO
NPI 1104052711 · NPPES record last updated Jul 26, 2024
Key facts
- NPI
- 1104052711
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2011039659 (MO)
- Practice address
- 6210 Langdon CT
Berkeley, MO 63134-1606 - Phone
- (314) 949-1422
- Fax
- (314) 788-3415
- NPI assigned
- Jun 9, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burns LLC | Chiropractor | Current |
Accepting new patients |
| Burns LLC | Chiropractor | Current |
Accepting new patients |
| Jerseyville Pain Management Center, S.C. | Chiropractor | Past | Accepting new patients |
| Angela Baxter LLC | Chiropractor | Past |
Accepting new patients |
| Medical Care LLC | Past | Accepting new patients |
Locations
1930 N Highway 67
Florissant, MO 63033
Phone (314) 455-4321
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2011039659 | MO | Yes |
Addresses
Primary practice location
6210 Langdon CT
Berkeley, MO 63134-1606
Mailing address
1930 N Highway 67
Florissant, MO 63033-1904
Phone (314) 455-4321
Other providers in Berkeley, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.