Joshua Levi Bradburn, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4351 Issued in NC

Practice address

2155 Britton Rd Ste 110
Leland, NC 28451-1929

Phone

(910) 408-1747

NPI assigned

Feb 11, 2013

Last updated

Oct 28, 2020By the provider in NPPES

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 NC

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• High Tide Chiropractic PLLC

  • Chiropractor
  • Leland, NC
  • NPI 1093301319
  Medicare reassignment NPD Authorized official
• Carolina Active Care Chiropractic

  • Chiropractor
  • Wilmington, NC
  • NPI 1912084765
  Medicare reassignment NPD
• Dietitian Kaitlyn LLC

  • Registered Dietitian
  • Leland, NC
  • NPI 1215689898
  NPD

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

{
    "created_epoch": "1360540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1306185467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5814 OLEANDER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034778",
            "telephone_number": "910-791-9130",
            "fax_number": "910-791-9165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 BRITTON RD STE 110",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284511929",
            "telephone_number": "910-408-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADBURN",
        "first_name": "JOSHUA",
        "middle_name": "LEVI",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-11",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John D. Boldizar, M.D.
• Linda Bombach, FNP
• Haydee Bourne, FNP
• Paige N Bowser
• Asia A Boyd, D.D.S.
• Kaylee Bradford, DMD
• Matthew Jordan Bradshaw, DC
• Kaitlyn Marie Brannin
• Thomas J Braza, MD
• Meghan Luisa Dalziel Brooks, O.D.

• Chiropractor in Leland, NC
• Providers in Leland, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.