Individual provider Active NPI

Bernard Michael O'Grady, CHIROPRACTOR

  • Orthopedic Chiropractor
  • Englewood, CO
National Provider Identifier
1154429637
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
1555 Issued in CO
Practice address
5020 S Federal Blvd
Englewood, CO 80110-6315
Phone
(303) 795-3668
Fax
(303) 795-3669
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X 1555 CO Primary

Addresses

Primary practice location

5020 S Federal Blvd
Englewood, CO 80110-6315

Mailing address

5020 S Federal Blvd
Englewood, CO 80110-6315
Phone (303) 795-3668

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
1555COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Chiropractic & Wellness PC Past Accepting new patients
Centennial Chiropractic Clinic Professional Corporation PastSince Sep 14, 2011 Accepting new patients

Organizations & group practices 2

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154429637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 S FEDERAL BLVD",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801106315",
            "telephone_number": "303-795-3668",
            "fax_number": "303-795-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 S FEDERAL BLVD",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801106315",
            "telephone_number": "303-795-3668",
            "fax_number": "303-795-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'GRADY",
        "first_name": "BERNARD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "CHIROPRACTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "CO",
            "license": "1555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.