Active NPI
Brad Arthur Thornley, D.C.
- Chiropractor
- Kirkland, WA
National Provider Identifier
1114970720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH60020390
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 30099 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Multi-Specialty Clinic/Center
- Daly City, CA
- NPI 1942524772
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.