Individual provider Active NPI

Todd Andrew Bramble, DC

  • Chiropractor
  • Somerset, KY
National Provider Identifier
1386658797
Registry record updated Feb 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4565 Issued in KY
Practice address
110 Richie LN
Ste. B
Somerset, KY 42503-6128
Phone
(606) 679-1433
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4565 KY Primary

Addresses

Primary practice location

110 Richie LN
Ste. B
Somerset, KY 42503-6128

Mailing address

110 Richie LN
Ste. B
Somerset, KY 42503-6128
Phone (606) 679-1433

Other identifiers 2

IdentifierTypeStateIssuer
85000156MedicaidKY
000000112945OtherKYANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100916000616 KY Practitioner - Chiropractic 5294850046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

110 Richie LN
Suite B
Somerset, KY 42503-6128
Phone (606) 679-1433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4565KYMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Bramble Chiropractic,PLLC Chiropractor CurrentSince Feb 16, 2011 Accepting new patients
Cooper & Cooper, PSC Chiropractor Past Accepting new patients
Cooper & Cooper, P.S.C. Chiropractor Past Accepting new patients

Locations

110 Richie Ln
Ste B
Somerset, KY 42503
Phone (606) 679-1433

Organizations & group practices 3

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298332800000",
    "number": "1386658797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 RICHIE LN",
            "address_2": "STE. B",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425036128",
            "telephone_number": "606-679-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 RICHIE LN",
            "address_2": "STE. B",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425036128",
            "telephone_number": "606-679-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAMBLE",
        "first_name": "TODD",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2011-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85000156",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000112945",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; 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.