Active NPI
Bradley Agan
- Chiropractor
- O'Fallon, MO
National Provider Identifier
1356894273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2016027028
- Practice address
- 1297 Bryan Rd
O Fallon, MO 63366-3729 - Phone
- (636) 294-0070
- NPI assigned
- Jul 27, 2016
- Last updated
- May 4, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2016027028 | MO | Primary |
Addresses
Primary practice location
1297 Bryan Rd
O Fallon, MO 63366-3729
Mailing address
1297 Bryan Rd
O Fallon, MO 63366-3729
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1297 Bryan Rd
O Fallon, MO 63366-3729
Phone (636) 294-0070
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agan Chiropractic Clinics LLC | Chiropractor | Current | Accepting new patients |
Locations
1297 Bryan Rd
O Fallon, MO 63366
Phone (636) 294-0070
Organizations & group practices 2
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.
-
- Chiropractor
- O'Fallon, MO
- NPI 1386692234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683158400000",
"number": "1356894273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1297 BRYAN RD",
"city": "O FALLON",
"state": "MO",
"postal_code": "633663729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1297 BRYAN RD",
"city": "O FALLON",
"state": "MO",
"postal_code": "633663729",
"telephone_number": "636-294-0070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGAN",
"first_name": "BRADLEY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-27",
"last_updated": "2023-05-04",
"certification_date": "2023-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2016027028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in O'Fallon, MO
- Advanced Chiropractic Spine and Joint Rehab. PC
- Advanced Dentistry of O'Fallon LLC (Advanced Dentistry of O'Fallon)
- Advanced Surgical Staffing Resources, LLC
- Affordable & Excellent Home Health Care (A & E Home Health Care)
- Agan Chiropractic Clinics LLC (Agan Chiropractic)
- Randy Agolia, MD
- Air Evac EMS, Inc. (Air Evac Lifeteam)
- Air Evac EMS, Inc. (Air Evac Lifeteam)
- Ak Home Health Care, LLC
- Shonna Renee Akinbobola, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.