Craig S Aderholdt, DC
Individual provider Active NPI Chiropractor · Bradenton, FL
NPI 1114016128 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1114016128
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CH7814 (FL)
- Practice address
- 2215 53Rd Avenue West
Bradenton, FL 34207 - Phone
- (941) 756-5528
- Fax
- (941) 751-3732
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 1998
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5221 26TH St W
Bradenton, FL 34207-2205
Phone (941) 756-5528
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080212000225 | FL | Practitioner - Chiropractic | 7012005432 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH7814 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back Pain Institute of West Florida | Chiropractor | Current |
Accepting new patients |
Locations
5221 26th St W
Bradenton, FL 34207
Phone (941) 756-5525
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH7814 | FL | Yes |
Addresses
Primary practice location
2215 53Rd Avenue West
Bradenton, FL 34207
Mailing address
2215 53Rd Avenue West
Bradenton, FL 34207
Phone (941) 756-5528
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.