Edward Chestley Ledbetter, DC
Individual provider Active NPI Chiropractor · Gladewater, TX
NPI 1235170804 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1235170804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 9364 (TX)
- Practice address
- 404 W Upshur Ave
Gladewater, TX 75647-2124 - Phone
- (903) 845-8445
- Fax
- (903) 845-8421
- NPI assigned
- Jun 8, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2828 Bill Owens Pkwy
Suite a
Longview, TX 75605-2102
Phone (903) 236-2900
2828 Bill Owens Pkwy a
Longview, TX 75605-2102
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070712000038 | TX | Practitioner - Chiropractic | 7315047933 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9364 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Procedural Office Operation Professionals LLC | Chiropractor | Current |
Accepting new patients |
Locations
404 W Upshur Ave
Gladewater, TX 75647
Phone (903) 845-8445
2828 Bill Owens Pkwy
#A
Longview, TX 75605
Phone (903) 236-2900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 9364 | TX | Yes |
Addresses
Primary practice location
404 W Upshur Ave
Gladewater, TX 75647-2124
Mailing address
404 W Upshur Ave
Gladewater, TX 75647-2124
Phone (903) 845-8445
Other providers in Gladewater, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.