Active NPI
Brad Patrick Farra, DC
- Chiropractor
- Portland, OR
National Provider Identifier
1235394073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3851
- Practice address
- 905 SE Ankeny St
Portland, OR 97214-1349 - Phone
- (503) 975-6566
- Fax
- (503) 954-1504
- NPI assigned
- Jul 21, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 3851 | OR | Primary |
Addresses
Primary practice location
905 SE Ankeny St
Portland, OR 97214-1349
Mailing address
905 SE Ankeny St
Portland, OR 97214-1349
Phone (503) 975-6566
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 |
|---|---|---|---|
| 3851 | OR | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portland Chiropractic Group Inc | Chiropractor | Past | Accepting new patients |
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.
-
dba Portland Chiropractic Group
- Chiropractor
- Portland, OR
- NPI 1134393556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753833600000",
"number": "1235394073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 SE ANKENY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972141349",
"telephone_number": "503-975-6566",
"fax_number": "503-954-1504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 SE ANKENY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972141349",
"telephone_number": "503-975-6566",
"fax_number": "503-954-1504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRA",
"first_name": "BRAD",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-21",
"last_updated": "2025-07-30",
"certification_date": "2025-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "3851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.