Active NPI
Brad David Londre, DC
- Chiropractor
- Shelby, NC
National Provider Identifier
1265591978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1545
- Practice address
- 518 S Dekalb St
Shelby, NC 28150-5927 - Phone
- (704) 482-7271
- NPI assigned
- Dec 8, 2006
- Sex
- Male
- 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 | 1545 | NC | Primary |
Addresses
Primary practice location
518 S Dekalb St
Shelby, NC 28150-5927
Mailing address
518 S Dekalb St
Shelby, NC 28150-5927
Phone (704) 482-7271
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08595 | Other | NC | BLUE CROSS BLUE SHIELD |
| 7908595 | Medicaid | NC |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1545 | NC | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265591978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "518 S DEKALB ST",
"city": "SHELBY",
"state": "NC",
"postal_code": "281505927",
"telephone_number": "704-482-7271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "518 S DEKALB ST",
"city": "SHELBY",
"state": "NC",
"postal_code": "281505927",
"telephone_number": "704-482-7271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONDRE",
"first_name": "BRAD",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "1545",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "08595",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7908595",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shelby, NC
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.