Individual provider Active NPI

Bradley Gibson Marshall-Inman, DC

  • Chiropractor
  • Kirkland, WA
National Provider Identifier
1366520496
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00003582 Issued in WA
Practice address
11725 124TH Ave NE
Kirkland, WA 98034-8108
Phone
(425) 825-1750
Fax
(425) 825-1850
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 CH00003582 WA Primary

Addresses

Primary practice location

11725 124TH Ave NE
Kirkland, WA 98034-8108

Mailing address

11725 124TH Ave NE
Kirkland, WA 98034-8108
Phone (425) 825-1750

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

State licenses

LicenseStateTypeSpecialty
CH00003582WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Brad Marshall-Inman.DC.PS Chiropractor PastSince Jul 1, 2003 Accepting new patients
BC DC PS Chiropractor PastSince Dec 1, 2007 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366520496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11725 124TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980348108",
            "telephone_number": "425-825-1750",
            "fax_number": "425-825-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11725 124TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980348108",
            "telephone_number": "425-825-1750",
            "fax_number": "425-825-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL-INMAN",
        "first_name": "BRADLEY",
        "middle_name": "GIBSON",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.