Dr Bradley Wolff D C a Professional Chiropractic Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC18698 Issued in CA

Legal business name

DR BRADLEY WOLFF D C A PROFESSIONAL CHIROPRACTIC CORPORATION

Practice address

1900 E Tahquitz Canyon Way Ste C1
Palm Springs, CA 92262-7062

Phone

(760) 327-3330

Fax

(760) 327-3486

NPI assigned

May 12, 2017

Last updated

Oct 30, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bradley Evan Wolff, DCNPI 1821191768

Title

Chiropractor

Phone

(760) 327-3330

Specialties & licenses 1

Addresses

Other names 1

• Dr. Bradley Wolff, D.C., Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Dr Bradley E Wolff DC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dr. Bradley E Wolff DC

  • Preferred Provider Organization
  • Palm Springs, CA
  • NPI 1699047142
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bradley Evan Wolff, D.C.

  • Chiropractor
  • Palm Springs, CA
  • NPI 1821191768
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1104353895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 E TAHQUITZ CANYON WAY",
            "address_2": "C1",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627024",
            "telephone_number": "760-327-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E TAHQUITZ CANYON WAY STE C1",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627062",
            "telephone_number": "760-327-3330",
            "fax_number": "760-327-3486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BRADLEY WOLFF D C A PROFESSIONAL CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-12",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "WOLFF",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "EVAN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "760-327-3330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC18698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Bradley Wolff, D.C.,",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Dr Gerardo B. Martin, Inc a Professional Corporation
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• Dr. Bradley E Wolff DC
• Dr. Gregory L. McFarland, O.D., P.C (Desert Eye Care Center of Optometry)
• Dr. Richard E Kraus, O.D., Inc

• Chiropractor in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.

Verify at the official NPI Registry.