Bradley Chiropractic Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2001010035 Issued in MO

Legal business name

BRADLEY CHIROPRACTIC CENTER, LLC

Practice address

330 N Vandeventer Ave
Saint Louis, MO 63108-3104

Phone

(314) 371-2225

Fax

(314) 533-2404

NPI assigned

Sep 22, 2014

Last updated

Sep 22, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Darryl Lionel Bradley, D.C.NPI 1043498355

Title

Owner/Chiropractor

Phone

(314) 371-2225

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Darryl Lionel Bradley, D.C.

  • Chiropractor
  • Saint Louis, MO
  • NPI 1043498355
  Authorized official Same address or phone

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411344000000",
    "number": "1144622184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N VANDEVENTER AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631083104",
            "telephone_number": "314-371-2225",
            "fax_number": "314-533-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N VANDEVENTER AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631083104",
            "telephone_number": "314-371-2225",
            "fax_number": "314-533-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-22",
        "last_updated": "2014-09-22",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_middle_name": "LIONEL",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "314-371-2225",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2001010035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debbie Bradford, PHARMD
• Krystal K Bradford
• Lashanda Bradford
• Shelia Latrese Bradford
• Timothy Bradford
• Brian William Bradley, P.T.
• Cameron Bradley
• Carole Leigh Bradley, PHARM.D.
• Cole Russell Bradley, B.A.
• Crystal Bradley

• Chiropractor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.