First Colonial Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104555587 Issued in VA

Legal business name

FIRST COLONIAL CHIROPRACTIC

Practice address

1139 First Colonial Rd
Virginia Beach, VA 23454-2402

Phone

(757) 496-4956

Fax

(757) 496-0197

NPI assigned

Feb 20, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jason A Bradecich, DC

Title

Owner

Phone

(757) 496-4956

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1265600506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 FIRST COLONIAL RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542402",
            "telephone_number": "757-496-4956",
            "fax_number": "757-496-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 FIRST COLONIAL RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542402",
            "telephone_number": "757-496-4956",
            "fax_number": "757-496-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST COLONIAL CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "BRADECICH",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-496-4956",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104555587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "140415",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fiore Psychiatry PLLC
• Andrea Deanne Fiorillo, LMT, MMT
• Marianna Fiorillo, RDN
• First Choice Medical Center LLC
• First Choice Nurses, Inc (First Choice Home Care)
• First Colonial Family Practice Center, Inc (First Colonial Family Practice and Urgent Care Center)
• First Colonial Psychotherapy Services
• First Health Medical Practice P C
• First Hospital Corporation of Virginia Beach (Virginia Beach Psychiatric Center)
• First Meridian Medical LLC (MRI CT Diagnostics)

• Chiropractor in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.