Bradley Elliott Krock, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2021033807 Issued in MO

Practice address

1761 Jeffco Blvd
Arnold, MO 63010-2713

Phone

(636) 296-1222

NPI assigned

Sep 9, 2021

Last updated

Sep 9, 2021By 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 MO, TN2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Krock Capital LLC

  • Chiropractor
  • Franklin, TN
  • NPI 1497520712
  Medicare reassignment NPD Authorized official
• Bradley Chiropractic LLC

  • Chiropractor
  • Arnold, MO
  • NPI 1699964478
  Medicare reassignment NPD
• Amy Horn Twenty Seven, LLC

  dba Integrative Healthcare Center

  • Chiropractor
  • Arnold, MO
  • NPI 1699080788
  NPD (past)
• Chirocore Wellness PLLC

  • Chiropractor
  • Franklin, TN
  • NPI 1265740377
  NPD (past)

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1326717703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 JEFFCO BLVD",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630102713",
            "telephone_number": "636-296-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 JEFFCO BLVD",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630102713",
            "telephone_number": "636-296-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROCK",
        "first_name": "BRADLEY",
        "middle_name": "ELLIOTT",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2021033807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Marie Knobbe, LPC
• Denita Kos
• Amanda Jean Kraut, DPT
• Danielle Kretzer, OTR/L
• Elisha Annette Krisher, RDH
• Teresa J Kruger, MA, CCC-SLP
• Lauren A Krumm, OTR/L
• Mark Kucharczyk, DMD
• Darby Kyler
• Rachel Kyllo, M.D.

• Chiropractor in Arnold, MO
• Providers in Arnold, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.