NPIMap

Organization Active NPI

Bradford Chiropractic and Associates PC

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1316122435
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
060-005405 Issued in IL
Legal business name
BRADFORD CHIROPRACTIC AND ASSOCIATES PC
Practice address
6237 W Touhy Ave
Chicago, IL 60646-1106
Phone
(773) 631-6161
Fax
(773) 631-7380
NPI assigned
Jan 8, 2008
Last updated
Apr 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Authorized official

Name
Gregg S Bradford, DCNPI 1154493211
Title
Chiropractor
Phone
(773) 631-6161

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 060-005405 IL Primary

Addresses

Primary practice location

6237 W Touhy Ave
Chicago, IL 60646-1106

Mailing address

6237 W Touhy Ave
Chicago, IL 60646-1106
Phone (773) 631-6161

Other identifiers 2

IdentifierTypeStateIssuer
16-18-745OtherILBCBS
4349426OtherILAETNA

National Provider Directory

National Provider Directory

Locations

6237 W Touhy Ave
Chicago, IL 60646
Phone (773) 631-6161

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1316122435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6237 W TOUHY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606461106",
            "telephone_number": "773-631-6161",
            "fax_number": "773-631-7380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6237 W TOUHY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606461106",
            "telephone_number": "773-631-6161",
            "fax_number": "773-631-7380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADFORD CHIROPRACTIC AND ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "773-631-6161",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "060-005405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "16-18-745",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4349426",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.