NPIMap

Organization Active NPI

Brad Wesley Collins DC PA

Doing business as Midlothian Spine & Sport

  • Chiropractor
  • Midlothian, TX
National Provider Identifier
1184638470
Registry record updated Sep 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9978 Issued in TX
Legal business name
BRAD WESLEY COLLINS DC PA
Doing business as
Midlothian Spine & Sport
Practice address
525 East Main St.
Midlothian, TX 76065-2962
Phone
(972) 723-1155
Fax
(972) 723-1156
NPI assigned
Jul 29, 2006
Last updated
Sep 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2013

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

Authorized official

Name
Dr. Brad Wesley Collins, D.C.NPI 1871549154
Title
Doctor/Owner
Phone
(972) 723-1155

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
Chiropractor 111N00000X 9978 TX Primary

Addresses

Primary practice location

525 East Main St.
Midlothian, TX 76065-2962

Mailing address

525 East Main St.
Midlothian, TX 76065-2962
Phone (972) 723-1155

Other identifiers 1

IdentifierTypeStateIssuer
0150PUOtherTXBCBS

Other names 1

  • Midlothian Spine & Sport Doing business as

National Provider Directory

National Provider Directory

Locations

306 W Avenue F
Midlothian, TX 76065
Phone (972) 723-1155

525 E Main St
Midlothian, TX 76065
Phone (972) 723-1155

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379289600000",
    "number": "1184638470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 EAST MAIN ST.",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760652962",
            "telephone_number": "972-723-1155",
            "fax_number": "972-723-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 EAST MAIN ST.",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760652962",
            "telephone_number": "972-723-1155",
            "fax_number": "972-723-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAD WESLEY COLLINS DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2013-09-16",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "972-723-1155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0150PU",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midlothian Spine & Sport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midlothian, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; 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.