Organization Active NPI

Walters' Chiropractic, P.C.

  • Sports Physician Chiropractor
  • Albuquerque, NM
National Provider Identifier
1396873162
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
1354 Issued in NM
Legal business name
WALTERS' CHIROPRACTIC, P.C.
Practice address
6200 Coors Blvd NW
Suite A7
Albuquerque, NM 87120-2785
Phone
(505) 899-0708
Fax
(505) 899-0707
NPI assigned
Mar 1, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Bradley Darin Walters, DCNPI 1023024759
Title
President
Phone
(505) 899-0708

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
Sports Physician Chiropractor 111NS0005X 1354 NM Primary

Addresses

Primary practice location

6200 Coors Blvd NW
Suite A7
Albuquerque, NM 87120-2785

Mailing address

6200 Coors Blvd NW
Suite A7
Albuquerque, NM 87120-2785
Phone (505) 899-0708

National Provider Directory

National Provider Directory

Locations

6200 Coors Blvd NW
Ste A7
Albuquerque, NM 87120
Phone (505) 899-0708

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396873162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 COORS BLVD NW",
            "address_2": "SUITE A7",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871202785",
            "telephone_number": "505-899-0708",
            "fax_number": "505-899-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 COORS BLVD NW",
            "address_2": "SUITE A7",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871202785",
            "telephone_number": "505-899-0708",
            "fax_number": "505-899-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTERS' CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "DARIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-899-0708",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NM",
            "license": "1354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.