Bradford J Pizza, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR002138 Issued in GA

Practice address

3284 Dogwood Dr
Hapeville, GA 30354-1158

Phone

(404) 761-6200

Fax

(404) 761-0825

NPI assigned

Sep 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pizza Clinic of ChiropracticGroup PAC ID 3971530874, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pizza Clinic of Chiropractic

  • Chiropractor
  • Hapeville, GA
  • NPI 1548458326
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1134225618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3284 DOGWOOD DR",
            "city": "HAPEVILLE",
            "state": "GA",
            "postal_code": "303541158",
            "telephone_number": "404-761-6200",
            "fax_number": "404-761-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3284 DOGWOOD DR",
            "city": "HAPEVILLE",
            "state": "GA",
            "postal_code": "303541158",
            "telephone_number": "404-761-6200",
            "fax_number": "404-761-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIZZA",
        "first_name": "BRADFORD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR002138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00300704A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350051350",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "935698",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "158550800",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004549922",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pizza Clinic of Chiropractic
• Paul Purvis, D.C.
• Allene Lynn Ranew, PH.D., LCSW
• Kye Richardson
• Terry Robinson, PA
• Brooke Nicole Rosas, PTA

• Chiropractor in Hapeville, GA
• Providers in Hapeville, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.