Active NPI
Bradley R Keys, DC
- Chiropractor
- St Thomas, VI
National Provider Identifier
1174018683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 85
- Practice address
- Paragon Medical Building
9149 Estate Thomas, Ste. 203
St. Thomas, VI 00802 - Phone
- (340) 690-4994
- NPI assigned
- Jun 27, 2018
- Last updated
- Jun 27, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 85 | VI | Primary |
Addresses
Primary practice location
Paragon Medical Building
9149 Estate Thomas, Ste. 203
St. Thomas, VI 00802
Mailing address
Paragon Medical Building
9149 Estate Thomas, Ste. 203
St. Thomas, VI 00802
Phone (340) 690-4994
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85 | Other | VI | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9150 Estate Thomas
Suite 202
St Thomas, VI 00802-2612
Phone (340) 690-4994
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- St Thomas, VI
- NPI 1922597848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530057600000",
"number": "1174018683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PARAGON MEDICAL BUILDING",
"address_2": "9149 ESTATE THOMAS, STE. 203",
"city": "ST. THOMAS",
"state": "VI",
"postal_code": "00802",
"telephone_number": "340-690-4994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PARAGON MEDICAL BUILDING",
"address_2": "9149 ESTATE THOMAS, STE. 203",
"city": "ST. THOMAS",
"state": "VI",
"postal_code": "00802",
"telephone_number": "340-690-4994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEYS",
"first_name": "BRADLEY",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-27",
"last_updated": "2018-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "VI",
"license": "85",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "85",
"state": "VI"
}
],
"endpoints": [],
"other_names": []
}Other providers in St Thomas, VI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.