Organization Active NPI

Brad L Flaska, D.C., P.C.

  • Chiropractor
  • Mineral Wells, TX
National Provider Identifier
1154589406
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4835 Issued in TX
Legal business name
BRAD L FLASKA, D.C., P.C.
Practice address
913 E Hubbard St
Mineral Wells, TX 76067-5450
Phone
(940) 325-9495
NPI assigned
May 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Dr. Brad Flaska, DCNPI 1346274271
Title
Chiropractor/Owner
Phone
(940) 325-9495

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4835 TX Primary

Addresses

Primary practice location

913 E Hubbard St
Mineral Wells, TX 76067-5450

Mailing address

913 E Hubbard St
Mineral Wells, TX 76067-5450
Phone (940) 325-9495

Other identifiers 1

IdentifierTypeStateIssuer
001413601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080527000591 TX Part B Supplier - Clinic/Group Practice 6507935970 Receives reassigned benefits from 1 practitioner
Practice locations: Mineral Wells, TX

National Provider Directory

National Provider Directory

Locations

913 E Hubbard St
Mineral Wells, TX 76067
Phone (817) 325-9495

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1154589406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 E HUBBARD ST",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760675450",
            "telephone_number": "940-325-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 E HUBBARD ST",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760675450",
            "telephone_number": "940-325-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAD L FLASKA, D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "FLASKA",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "940-325-9495",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001413601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineral Wells, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.