David L Bramwell, D.C., D.A.B.C.O.

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

C-465 Issued in ID

Practice address

402 Shoup Ave
Idaho Falls, ID 83402-3603

Phone

(208) 529-2057

Fax

(208) 529-6857

NPI assigned

Feb 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213315200000",
    "number": "1124153515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 SHOUP AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023603",
            "telephone_number": "208-529-2057",
            "fax_number": "208-529-6857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 SHOUP AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023603",
            "telephone_number": "208-529-2057",
            "fax_number": "208-529-6857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAMWELL",
        "first_name": "DAVID",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C., D.A.B.C.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2008-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "ID",
            "license": "C-465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "000010008956",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "CHIA-465",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "C9172",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Logan Bradley, DPT
• Maggi Bradley
• Tamara T. Bradley, L.C.S.W.
• Matthew Richard Brady, MA
• Sarah Kay Bragg, M.S., CCC-SLP
• Anne Marie Brasher, LMSW
• Carl Samuel Brayton, DO
• Christopher Brayton, LCSW
• Brent Cline DDS PLLC
• Brent F. Baldree PH.D., Inc.

• All providers in Idaho Falls, ID
• Orthopedic Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.