Bradley I Mandell, D.C.

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

3020 Issued in SC

Practice address

3629 Suzanne Dr
Little River, SC 29566-9318

Phone

(843) 957-0943

NPI assigned

Jun 14, 2005

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1194720458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3629 SUZANNE DR",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295669318",
            "telephone_number": "843-957-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3629 SUZANNE DR",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295669318",
            "telephone_number": "843-957-0943"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3017 Mountain Rd",
            "address_2": "Ste A",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "MD",
            "postal_code": "211222015",
            "country_code": "US",
            "telephone_number": "410-439-4466",
            "fax_number": "410-439-4907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANDELL",
        "first_name": "BRADLEY",
        "middle_name": "I",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "SC",
            "license": "3020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esperanza Adriano Macalincag, APRN
• Magrho Guardian Angels, LLC
• Abhijit Mahalingashetty, M.D.
• Thomas Malenfant
• Adam Joshua Mandel, D.O.
• Taanya Mannain, LISW-CP
• Yuxuan Mao, M.D., M.S.
• Sam W Marcos, RPH
• Rebecca Marie Markham, DMD
• April Martin, MSP,CCC-SLP

• Orthopedic Chiropractor in Little River, SC
• Providers in Little River, SC by specialty
• Orthopedic Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; 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.