Bradley D Ball, DC
Individual provider Active NPI Chiropractor · Wilsonville, OR
NPI 1295601482 · NPPES record last updated Oct 15, 2025
Key facts
- NPI
- 1295601482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 6472 (OR)
- Practice address
- 30789 SW Boones Ferry Rd
Wilsonville, OR 97070-7842 - Phone
- (503) 682-6778
- NPI assigned
- Oct 14, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6472 | OR | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 6472 | OR | Yes |
Addresses
Primary practice location
30789 SW Boones Ferry Rd
Wilsonville, OR 97070-7842
Mailing address
16421 Inverurie Rd
Lake Oswego, OR 97035-4117
Phone (971) 381-2058
Other providers in Wilsonville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.