Bradley Scott Camiller, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010985 Issued in MI

Practice address

124 W Savidge St
Spring Lake, MI 49456-3101

Phone

(616) 846-2330

Fax

(616) 846-3283

NPI assigned

Sep 22, 2020

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

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Weiss Chiropractic, PLLCGroup PAC ID 5991875007, 4 clinicians

Rivertown Family Chiropractic LLCGroup PAC ID 2163652652, 8 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.

• Rivertown Family Chiropractic LLC

  • Chiropractor
  • Wyoming, MI
  • NPI 1447671276
  Medicare reassignment Care Compare group NPD
• Weiss Chiropractic, PLLC

  • Chiropractor
  • Spring Lake, MI
  • NPI 1205003175
  Medicare reassignment Care Compare group NPD
• Westra Chiropractic Center PLLC

  • Chiropractor
  • Spring Lake, MI
  • NPI 1841379104
  NPD (past)

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1164038469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 W SAVIDGE ST",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494563101",
            "telephone_number": "616-846-2330",
            "fax_number": "616-846-3283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 W SAVIDGE ST",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494563101",
            "telephone_number": "616-846-2330",
            "fax_number": "616-846-3283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMILLER",
        "first_name": "BRADLEY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Donna Butler, COTA/L
• Byron Center Speech & Language Therapy LLC
• Cardinal Naturopathic and Functional Wellness LLC
• Debra Kaye Cargo, ACSW
• Dawn M Carlen, TLLP
• Carls Chiropractic, LLC
• Erin Carmode, MS, CCC-SLP

• All providers in Spring Lake, MI
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.