Individual provider Active NPI

Brad L Flaska, D.C.

  • Chiropractor
  • Mineral Wells, TX
National Provider Identifier
1346274271
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4835 Issued in TX
Practice address
913 E Hubbard St
Mineral Wells, TX 76067-5450
Phone
(940) 325-9495
Fax
(940) 325-9496
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4835 TX Primary

Addresses

Primary practice location

913 E Hubbard St
Mineral Wells, TX 76067-5450

Mailing address

913 E Hubbard St
Mineral Wells, TX 76067-5450
Phone (940) 325-9495

Other identifiers 1

IdentifierTypeStateIssuer
001413601MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080527000604 TX Practitioner - Chiropractic 4587733951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

913 E Hubbard St
Mineral Wells, TX 76067-5450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4835TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Brad L Flaska, D.C., P.C. Chiropractor CurrentSince Oct 1, 2008 Accepting new patients

Locations

913 E Hubbard St
Mineral Wells, TX 76067
Phone (817) 325-9495

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210636800000",
    "number": "1346274271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 E HUBBARD ST",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760675450",
            "telephone_number": "940-325-9495",
            "fax_number": "940-325-9496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 E HUBBARD ST",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760675450",
            "telephone_number": "940-325-9495",
            "fax_number": "940-325-9496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLASKA",
        "first_name": "BRAD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001413601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineral Wells, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.