Individual provider Active NPI

Bradley Adam Sabo, D.C.

  • Chiropractor
  • Lake Orion, MI
National Provider Identifier
1215218524
Registry record updated Aug 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009859 Issued in MI
Practice address
25 S Lapeer St
Lake Orion, MI 48362-3182
Phone
(248) 693-4800
Fax
(248) 693-3539
NPI assigned
Aug 31, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009859 MI Primary

Addresses

Primary practice location

25 S Lapeer St
Lake Orion, MI 48362-3182

Mailing address

25 S Lapeer St
Lake Orion, MI 48362-3182
Phone (248) 693-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111130000475 MI Practitioner - Chiropractic 5991979098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caruso Chiropractic Clinic, P.C.Group PAC ID 0345228649, 2 clinicians

Practice addresses (Care Compare)

25 S Lapeer St
Lake Orion, MI 48362-3167
Phone (248) 693-4800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Caruso Chiropractic Clinic, P.C. Chiropractor CurrentSince Oct 25, 2011 Accepting new patients

Locations

25 S Lapeer St
Lake Orion, MI 48362
Phone (248) 693-4800

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314748800000",
    "number": "1215218524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 S LAPEER ST",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483623182",
            "telephone_number": "248-693-4800",
            "fax_number": "248-693-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 S LAPEER ST",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483623182",
            "telephone_number": "248-693-4800",
            "fax_number": "248-693-3539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABO",
        "first_name": "BRADLEY",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-31",
        "last_updated": "2011-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Orion, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; 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.