Individual provider Active NPI

Brad Arthur Thornley, D.C.

  • Chiropractor
  • Kirkland, WA
National Provider Identifier
1114970720
Registry record updated Sep 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60020390 Issued in WA
Practice address
13128 Totem Lake Blvd NE
Suite 203
Kirkland, WA 98034-2953
Phone
(425) 820-8837
Fax
(425) 820-7009
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60020390 WA Primary

Addresses

Primary practice location

13128 Totem Lake Blvd NE
Suite 203
Kirkland, WA 98034-2953

Mailing address

13128 Totem Lake Blvd NE
Suite 203
Kirkland, WA 98034-2953
Phone (425) 820-8837

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30099CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Center for Diabetes & Metabolic Care Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283385600000",
    "number": "1114970720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13128 TOTEM LAKE BLVD NE",
            "address_2": "SUITE 203",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980342953",
            "telephone_number": "425-820-8837",
            "fax_number": "425-820-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13128 TOTEM LAKE BLVD NE",
            "address_2": "SUITE 203",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980342953",
            "telephone_number": "425-820-8837",
            "fax_number": "425-820-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNLEY",
        "first_name": "BRAD",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2010-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60020390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.