Organization Active NPI

Weathers Chiropractic Center PLLC

  • Chiropractor
  • Liberty, MS
National Provider Identifier
1407101140
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1192 Issued in MS
Legal business name
WEATHERS CHIROPRACTIC CENTER PLLC
Practice address
128 West Broken St
Liberty, MS 39645
Phone
(601) 657-0364
Fax
(601) 657-8851
NPI assigned
Jul 18, 2012
Last updated
Feb 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Authorized official

Name
Dr. Bradford Kimball Weathers, DC
Title
Owner
Phone
(601) 657-0364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1192 MS Primary

Addresses

Primary practice location

128 West Broken St
Liberty, MS 39645

Mailing address

250 S Broad St
Liberty, MS 39645-8029
Phone (601) 657-0364

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1407101140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 S BROAD ST",
            "city": "LIBERTY",
            "state": "MS",
            "postal_code": "396458029",
            "telephone_number": "601-657-0364",
            "fax_number": "601-657-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 WEST BROKEN ST",
            "city": "LIBERTY",
            "state": "MS",
            "postal_code": "39645",
            "telephone_number": "601-657-0364",
            "fax_number": "601-657-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEATHERS CHIROPRACTIC CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-18",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "WEATHERS",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_middle_name": "KIMBALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-657-0364",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; 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.