Active NPI
Nicole Brady, D.C.
- Chiropractor
- Canton, MI
National Provider Identifier
1215313655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- L637246
- Practice address
- 6231 N Canton Center Rd
Suite 109
Canton, MI 48187-2694 - Phone
- (734) 455-6767
- NPI assigned
- Aug 8, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | L637246 | MI | Primary |
Addresses
Primary practice location
6231 N Canton Center Rd
Suite 109
Canton, MI 48187-2694
Mailing address
6231 N Canton Center Rd
Suite 109
Canton, MI 48187-2694
Phone (734) 455-6767
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L637246 | MI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438992000000",
"number": "1215313655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6231 N CANTON CENTER RD",
"address_2": "SUITE 109",
"city": "CANTON",
"state": "MI",
"postal_code": "481872694",
"telephone_number": "734-455-6767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6231 N CANTON CENTER RD",
"address_2": "SUITE 109",
"city": "CANTON",
"state": "MI",
"postal_code": "481872694",
"telephone_number": "734-455-6767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADY",
"first_name": "NICOLE",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-08",
"last_updated": "2015-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "L637246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.