Amy D. Bradley, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1720 Issued in AR

Practice address

302 Camp Rd
Pocahontas, AR 72455-9131

Phone

(870) 248-0109

Fax

(870) 248-0109

NPI assigned

Jan 28, 2008

Last updated

Jan 28, 2008By the provider in NPPES

Sex

Female

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 AR

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2007

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Randolph County Chiropractic, LLC

  • Chiropractor
  • Pocahontas, AR
  • NPI 1275711186
  Medicare reassignment NPD Authorized official
• Basco Chiropractic Clinic

  • Chiropractor
  • Pocahontas, AR
  • NPI 1326182585
  NPD (past)

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1285811778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 CAMP RD",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724559131",
            "telephone_number": "870-248-0109",
            "fax_number": "870-248-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 CAMP RD",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724559131",
            "telephone_number": "870-248-0109",
            "fax_number": "870-248-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "AMY",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Black River Area Development Corp. Senior Citizens Program
• Stephen K. Blackburn, M.D.
• Kelley Blackwell, OTR/L
• Janice Kathryn Bonner, LCSW
• Amy Marie Bounds, QBHP
• Kyla Brandt, OTA
• Vivian Lea Brengard, R.D.
• Skyler N Brewer, LCSW
• Holly T Brigance, APRN-BC
• Teresa Ann Britt, M.C.D., C.C.C.-SLP

• Chiropractor in Pocahontas, AR
• Providers in Pocahontas, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.