Organization Active NPI

Bradley P Gerhard DC PA

  • Chiropractor
  • Oakland Park, FL
National Provider Identifier
1386669273
Registry record updated Mar 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 8646 Issued in FL
Legal business name
BRADLEY P GERHARD DC PA
Doing business as
Gerhard Chiropractic Center
Practice address
823 E Oakland Park Blvd
Oakland Park, FL 33334-2752
Phone
(954) 565-6333
Fax
(954) 565-9913
NPI assigned
Jul 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2009

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

Authorized official

Name
Dr. Bradley Paul Gerhard, DC
Title
Owner/Clinic Director
Phone
(954) 565-6333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH 8646 FL Primary

Addresses

Primary practice location

823 E Oakland Park Blvd
Oakland Park, FL 33334-2752

Mailing address

823 E Oakland Park Blvd
Oakland Park, FL 33334-2752
Phone (954) 565-6333

Other identifiers 2

IdentifierTypeStateIssuer
381704100MedicaidFL
K7986OtherFLMEDICARE GROUP

Other names 1

  • Gerhard Chiropractic Center Doing business as

National Provider Directory

National Provider Directory

Locations

823 E Oakland Park Blvd
Oakland Park, FL 33334
Phone (954) 565-6333

830 E Oakland Park Blvd
Ste 105
Oakland Park, FL 33334
Phone (954) 565-6333

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237161600000",
    "number": "1386669273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 E OAKLAND PARK BLVD",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333342752",
            "telephone_number": "954-565-6333",
            "fax_number": "954-565-9913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 E OAKLAND PARK BLVD",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333342752",
            "telephone_number": "954-565-6333",
            "fax_number": "954-565-9913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY P GERHARD DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2009-03-16",
        "status": "A",
        "authorized_official_last_name": "GERHARD",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER/CLINIC DIRECTOR",
        "authorized_official_telephone_number": "954-565-6333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 8646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381704100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "K7986",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gerhard Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakland Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; 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.