David Brian Bradley, DC CCRD

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4202 Issued in TX

Practice address

1228 Precinct Line Rd
#B
Hurst, TX 76053-4290

Phone

(817) 282-7600

Fax

(817) 282-7604

NPI assigned

Oct 2, 2006

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 TX

Enrollment records 1

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 and National Provider Directory roles.

• David B. Bradley, DC, PC

  • Chiropractor
  • Hurst, TX
  • NPI 1578706149
  Medicare reassignment NPD Authorized official
• Active Healthcare and Physical Medicine LLC

  dba Active Healthcare and Physical Medicine

  • Clinic/Center
  • Hurst, TX
  • NPI 1952067050
  NPD Authorized official

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256342400000",
    "number": "1366535668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1794",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760531794",
            "telephone_number": "817-282-7600",
            "fax_number": "817-282-7604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 PRECINCT LINE RD",
            "address_2": "#B",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760534290",
            "telephone_number": "817-282-7600",
            "fax_number": "817-282-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "DAVID",
        "middle_name": "BRIAN",
        "credential": "DC CCRD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2009-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas L Boyle, PHD
• Jeffry Alan Brace, D.O.
• Darian Iman Bradford, APRN, FNP-C
• Michael-David Robert Bradford, LPC
• Amy Bradley
• Tyler Brady, DMD
• Summer Noel Branch
• Brandon Trevino, DDS, PA
• Laquita Shenay Brazile, LM
• Breaking the Cycle

• Chiropractor in Hurst, TX
• Providers in Hurst, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.