Individual provider Active NPI

Barbara C Bradley, D.C., P.T.

  • Chiropractor
  • Wausau, WI
National Provider Identifier
1265594451
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2483 Issued in WI
Practice address
151515 Robin LN
Wausau, WI 54401-6645
Phone
(715) 845-3775
Fax
(715) 848-9015
NPI assigned
Dec 14, 2006
Last updated
Jan 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2483 WI Primary

Addresses

Primary practice location

151515 Robin LN
Wausau, WI 54401-6645

Mailing address

151515 Robin LN
Wausau, WI 54401-6645
Phone (715) 845-3775

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080301000083 WI Practitioner - Chiropractic 1850475716 Receives reassigned benefits from 1 practitioner
Practice locations: Wausau, WI

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

151515 Robin LN
Wausau, WI 54401-6645
Phone (715) 845-3775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2483WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Gilge Chiropractic LLC Chiropractor CurrentSince Nov 8, 2020 Accepting new patients

Locations

151515 Robin Ln
Rib Mountain, WI 54401
Phone (715) 370-9395

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1265594451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151515 ROBIN LN",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544016645",
            "telephone_number": "715-845-3775",
            "fax_number": "715-848-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151515 ROBIN LN",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544016645",
            "telephone_number": "715-845-3775",
            "fax_number": "715-848-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "BARBARA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.C., P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.