Bradley Jason Blackwood, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-03920 Issued in KS

Practice address

511 Cedar St
Concordia, KS 66901-2111

Phone

(785) 243-4049

Fax

(785) 243-4735

NPI assigned

Sep 15, 2006

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 KS

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1988

Medicare assignment

May accept Medicare assignment

Group practices

Blackwood Chiropractic Clinic P aGroup PAC ID 6103873625, 2 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.

• Blackwood Chiropractic Clinic P a

  • Chiropractor
  • Concordia, KS
  • NPI 1366542581
  Medicare reassignment Care Compare group NPD
• Blackwood Chiropractic Clinic P a

  • Chiropractor
  • Manhattan, KS
  • NPI 1730289190
  NPD

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215033741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 484",
            "city": "CONCORDIA",
            "state": "KS",
            "postal_code": "669010484",
            "telephone_number": "785-243-4049",
            "fax_number": "785-243-4735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 CEDAR ST",
            "city": "CONCORDIA",
            "state": "KS",
            "postal_code": "669012111",
            "telephone_number": "785-243-4049",
            "fax_number": "785-243-4735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWOOD",
        "first_name": "BRADLEY",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-03920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ethan Bechard, PT, DPT
• Jeffrey Robert Bender, PHARMD
• Bio-Medical Applications of Kansas, Inc.
• Megan M Blackley, LMLP
• Blackwood Chiropractic Clinic P a
• Terrance Alan Blackwood, D.C.
• Carly Suzanne Bloomfield, LMSW
• Anthony L Bombardier, PHARM. D.
• Bryan Christopher Bombardier, PHARM.D.
• Jason Branfort, RPH

• All providers in Concordia, KS
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.