Travis Wayne Bradley, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3686 Issued in OK

Practice address

8556 E 101St St
Suite H
Tulsa, OK 74133-7033

Phone

(918) 369-9144

Fax

(918) 369-9145

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417031758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8556 E 101ST ST",
            "address_2": "SUITE H",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741337033",
            "telephone_number": "918-369-9144",
            "fax_number": "918-369-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8556 E 101ST ST",
            "address_2": "SUITE H",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741337033",
            "telephone_number": "918-369-9144",
            "fax_number": "918-369-9145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "TRAVIS",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Taylor Bradley, PA-C
• Monet Shanelle Bradley, LCSW
• Nechelle Bradley
• Paige M Bradley, PTA
• Sarah Souvannachak Bradley, D.O
• Bradleychiropractic P.C.
• Amy Beth Bradshaw, MPH
• Lucie Bradshaw
• Madison Kelley Bradshaw
• Sarah Kristin Bradshaw

• Chiropractor in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.