Bradley Family Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

A06007 Issued in IA

Legal business name

BRADLEY FAMILY CHIROPRACTIC PC

Practice address

127 Marion Blvd Ste B
Marion, IA 52302-3144

Phone

(319) 447-1317

Fax

(319) 447-1325

NPI assigned

Dec 20, 2007

Last updated

Dec 27, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dennis J Bradley, D.C.NPI 1013901446

Title

Owner

Phone

(319) 447-1317

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 1

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.

• Dennis J Bradley, D.C.

  • Chiropractor
  • Cedar Rapids, IA
  • NPI 1013901446
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1205010782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 MARION BLVD STE B",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523023144",
            "telephone_number": "319-447-1317",
            "fax_number": "319-447-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 MARION BLVD STE B",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523023144",
            "telephone_number": "319-447-1317",
            "fax_number": "319-447-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY FAMILY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-447-1317",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A06007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1149021",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "48468",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Ann Boelter, M.D.
• Sarah Boniface, LMT
• Adyson Bork
• Catheryn Jean Bot, DC
• Craig S Bradke, LISW
• Jeffrey Brookens, LMFT
• Carrie Brown-Benn, ARNP
• Cheyenne Brown
• Lindsay Michael Brown, D.D.S.
• Jill Kathleen Bryant, PHD

• Chiropractor in Marion, IA
• Providers in Marion, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.