Susans Acupuncture & Herbal Clinic PS Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00003203 Issued in WA

Legal business name

SUSANS ACUPUNCTURE & HERBAL CLINIC PS INC

Practice address

901 Harris Ave
Bellingham, WA 98225-7006

Phone

(360) 714-1185

Fax

(360) 714-1159

NPI assigned

Jan 28, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Susan Marie Bradbury, LAC, MACOMNPI 1952434664

Title

President

Phone

(360) 714-1185

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Krisvick Bradbury, D.C.

  • Chiropractor
  • Bellingham, WA
  • NPI 1548393218
  Medicare reassignment NPD
• Susan Marie Bradbury, LAC, MACOM

  • Acupuncturist
  • Bellingham, WA
  • NPI 1952434664
  NPD (past) Authorized official

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1265738876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 HARRIS AVE",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257006",
            "telephone_number": "360-714-1185",
            "fax_number": "360-714-1159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 HARRIS AVE",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257006",
            "telephone_number": "360-714-1185",
            "fax_number": "360-714-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSANS ACUPUNCTURE & HERBAL CLINIC PS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-28",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "BRADBURY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-714-1185",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LAC, MACOM"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "AB 17740",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sunrise Services, Inc.
• Super Track Urgent Care LLC
• Surgical & Endovascular Specialist
• Renee Leah Surratt, LMP
• Mani N. Sury, M.D.
• Michael Alan Sutherland, M.D.
• Rebecca L Sutter, MA CMHC
• Lisa M Swan
• Malcolm Andrew Swan, MD
• Erin J. Swanda, ARNP CNM

• Chiropractor in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.