Organization Active NPI

Quantum Chiropractic and Massage PLLC

  • Chiropractor
  • Royal Oak, MI
National Provider Identifier
1396409934
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
QUANTUM CHIROPRACTIC AND MASSAGE PLLC
Practice address
1320 N Campbell Rd Ste 13
Royal Oak, MI 48067-1555
Phone
(248) 733-3956
NPI assigned
Oct 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Authorized official

Name
Dr. Bradley Burgess, DCNPI 1376055970
Title
Owner/Chiropractor
Phone
(248) 733-3956

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1320 N Campbell Rd Ste 13
Royal Oak, MI 48067-1555

Mailing address

2922 N Main St
Royal Oak, MI 48073-3418
Phone (586) 556-1060

Other names 1

  • Quantum Chiropractic and Massage PLLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635465600000",
    "number": "1396409934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2922 N MAIN ST",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480733418",
            "telephone_number": "586-556-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 N CAMPBELL RD STE 13",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671555",
            "telephone_number": "248-733-3956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM CHIROPRACTIC AND MASSAGE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-29",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "248-733-3956",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quantum Chiropractic and Massage PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.