Active NPI
Bradley K Boyd, DC
- Chiropractor
- Centennial, CO
National Provider Identifier
1104097112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4371
- Practice address
- 7700 E Arapahoe Rd
Suite 180
Centennial, CO 80112-1266 - Phone
- (303) 220-7466
- Fax
- (303) 220-7467
- NPI assigned
- Mar 18, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4371 | CO | Primary |
Addresses
Primary practice location
7700 E Arapahoe Rd
Suite 180
Centennial, CO 80112-1266
Mailing address
7700 E Arapahoe Rd
Suite 180
Centennial, CO 80112-1266
Phone (303) 220-7466
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041123000929 | CO | Practitioner - Chiropractic | 7012972565 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4371 | CO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296000000000",
"number": "1104097112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7700 E ARAPAHOE RD",
"address_2": "SUITE 180",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801121266",
"telephone_number": "303-220-7466",
"fax_number": "303-220-7467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7700 E ARAPAHOE RD",
"address_2": "SUITE 180",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801121266",
"telephone_number": "303-220-7466",
"fax_number": "303-220-7467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "BRADLEY",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-18",
"last_updated": "2011-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "4371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.