Individual provider Active NPI

Patrick Sean Bradley, D.C.

  • Chiropractor
  • Litchfield Park, AZ
National Provider Identifier
1356449169
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5980 Issued in AZ
Practice address
4900 N Litchfield Road Byp
Suite C-2
Litchfield Park, AZ 85340-5061
Phone
(623) 547-0922
Fax
(623) 547-0924
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5980 AZ Primary

Addresses

Primary practice location

4900 N Litchfield Road Byp
Suite C-2
Litchfield Park, AZ 85340-5061

Mailing address

4900 N Litchfield Road Byp
Suite C-2
Litchfield Park, AZ 85340-5061
Phone (623) 547-0922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1356449169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 N LITCHFIELD ROAD BYP",
            "address_2": "SUITE C-2",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853405061",
            "telephone_number": "623-547-0922",
            "fax_number": "623-547-0924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 N LITCHFIELD ROAD BYP",
            "address_2": "SUITE C-2",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853405061",
            "telephone_number": "623-547-0922",
            "fax_number": "623-547-0924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "PATRICK",
        "middle_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Litchfield Park, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.