Blair Stephen Bradley, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3610 Issued in SC

Practice address

151 Waterloo St SW
Aiken, SC 29801-3756

Phone

(803) 649-7004

Fax

(803) 649-7411

NPI assigned

Dec 9, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bradley Chiropractic Services LLCGroup PAC ID 1153505342, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Bradley Chiropractic Services LLC

  • Chiropractor
  • Aiken, SC
  • NPI 1902102437
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350950400000",
    "number": "1265735427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3486",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298023486",
            "telephone_number": "803-649-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 WATERLOO ST SW",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298013756",
            "telephone_number": "803-649-7004",
            "fax_number": "803-649-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "BLAIR",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-09",
        "last_updated": "2012-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael M Boyd, MD
• Kylah Brabson
• Tamika Nicole Braddy
• Robert W Bradford, LISW-CP
• Bradley Chiropractic Services LLC
• John Benjamin Bradley, PH.D.
• Jennifer Bradshaw, LMFT
• Georgia Lynn Brady, WHNP
• Brandon L Daniels MD LLC
• Dorothy Brannon

• Chiropractor in Aiken, SC
• Providers in Aiken, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.