Individual provider Active NPI

Bradley M Todaro, DC

  • Chiropractor
  • Canonsburg, PA
National Provider Identifier
1417067141
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-009281 Issued in PA
Practice address
4160 Washington Rd Ste 207
Canonsburg, PA 15317-2533
Phone
(724) 942-7660
Fax
(724) 942-7664
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-009281 PA Primary

Addresses

Primary practice location

4160 Washington Rd Ste 207
Canonsburg, PA 15317-2533

Mailing address

4160 Washington Rd Ste 207
Canonsburg, PA 15317-2533
Phone (724) 942-7660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040901001087 PA Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 6901871904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
New York Chiropractic College, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4160 Washington Rd
Canonsburg, PA 15317-2533
Phone (724) 942-7660

4198 Washington Rd
MC Murray, PA 15317-2560

Hospital & facility affiliations

  • Washington Hospital, the Hospital, Washington, PA, CCN 390042

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-009281PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Advanced Chiropractic LLC Chiropractor CurrentSince Aug 2, 2004 Accepting new patients
Allegheny Advanced Chiropractic LLC Chiropractor CurrentSince Aug 2, 2004 Accepting new patients
Allegheny Physical Medicine PC Chiropractor PastSince Jan 6, 1992 Accepting new patients
Allegheny Physical Medicine Past Accepting new patients

Locations

4160 Washington Rd
Ste 207
Canonsburg, PA 15317
Phone (724) 942-7660

4198 Washington Rd
Ste 6
McMurray, PA 15317
Phone (724) 942-7660

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1417067141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 WASHINGTON RD STE 207",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153172533",
            "telephone_number": "724-942-7660",
            "fax_number": "724-942-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 WASHINGTON RD STE 207",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153172533",
            "telephone_number": "724-942-7660",
            "fax_number": "724-942-7664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODARO",
        "first_name": "BRADLEY",
        "middle_name": "M",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-009281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canonsburg, PA

Sources for this page

Verify at the official NPI Registry.