Individual provider Active NPI

Brad Alan Kern, DC

  • Chiropractor
  • Hallandale Beach, FL
National Provider Identifier
1306811641
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0005320 Issued in FL
Practice address
213 N Federal Hwy
Hallandale Beach, FL 33009
Phone
(305) 466-4357
Fax
(305) 466-4358
NPI assigned
Feb 21, 2006
Last updated
Apr 23, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0005320 FL Primary

Addresses

Primary practice location

213 N Federal Hwy
Hallandale Beach, FL 33009

Mailing address

213 N Federal Hwy
Hallandale Beach, FL 33009-4342
Phone (305) 466-4357

Other practice location 1

18205 Biscayne Blvd
Suite 2214
Aventura, FL 33160-2106
Phone (305) 899-0777

Other identifiers 1

IdentifierTypeStateIssuer
380272800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100326000363 FL Practitioner - Chiropractic 3476689647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

213 N Federal Hwy
Hallandale Beach, FL 33009-4342
Phone (305) 466-4357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH0005320FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Total Care Longevity Center, LLC Current Accepting new patients

Locations

213 N Federal Hwy
Hallandale Beach, FL 33009
Phone (305) 466-4357

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1306811641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 N FEDERAL HWY",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094342",
            "telephone_number": "305-466-4357",
            "fax_number": "305-466-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 N FEDERAL HWY",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "33009",
            "telephone_number": "305-466-4357",
            "fax_number": "305-466-4358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18205 Biscayne Blvd",
            "address_2": "Suite 2214",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331602106",
            "country_code": "US",
            "telephone_number": "305-899-0777",
            "fax_number": "305-932-2223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERN",
        "first_name": "BRAD",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0005320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380272800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; 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.