Bradley Jesse Elliott, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X005543-1 Issued in NY

Practice address

677 Plank Rd
Clifton Park, NY 12065-2020

Phone

(518) 383-4889

Fax

(518) 383-4892

NPI assigned

Sep 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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 NY

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1987

Medicare assignment

May accept Medicare assignment

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.

• Brad Elliott DC PC

  • Chiropractor
  • Clifton Park, NY
  • NPI 1821116997
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356448450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 PLANK RD",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120652020",
            "telephone_number": "518-383-4889",
            "fax_number": "518-383-4892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 PLANK RD",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120652020",
            "telephone_number": "518-383-4889",
            "fax_number": "518-383-4892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "BRADLEY",
        "middle_name": "JESSE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X005543-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah L Ecklund, RN
• James Alexander Edmond, MD
• Sana Tahir Effendi, DO
• Anika Ejaz
• Gale H Elfner, RN
• Kimberly Karol Elmer, M.D.
• Emerging Vision
• Zack Steven Emery, DO
• Empire Vision Center Inc (Empire Vision Centers)
• Erica L Buhler LCSW PC

• Chiropractor in Clifton Park, NY
• Providers in Clifton Park, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.