Individual provider Active NPI

Angela Michelle Bradford, D.C.

  • Chiropractor
  • Vinton, LA
National Provider Identifier
1437270998
Registry record updated Dec 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10585 Issued in TX
Practice address
1415 Stevenson St
Vinton, LA 70668-4333
Phone
(337) 409-0822
Fax
(337) 409-0947
NPI assigned
Apr 3, 2007
Last updated
Dec 7, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10585 TX Primary

Addresses

Primary practice location

1415 Stevenson St
Vinton, LA 70668-4333

Mailing address

1415 Stevenson St
Vinton, LA 70668-4333
Phone (337) 409-0822

Other identifiers 1

IdentifierTypeStateIssuer
2313754MedicaidLA

Other names 1

  • Miss Angela Hyatt Sonnier Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1517LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Area Chiropractic Center, Inc. Chiropractor Past Accepting new patients
Quebedeaux Chiropractic Center Chiropractor Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354838400000",
    "number": "1437270998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 STEVENSON ST",
            "city": "VINTON",
            "state": "LA",
            "postal_code": "706684333",
            "telephone_number": "337-409-0822",
            "fax_number": "337-409-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 STEVENSON ST",
            "city": "VINTON",
            "state": "LA",
            "postal_code": "706684333",
            "telephone_number": "337-409-0822",
            "fax_number": "337-409-0947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "ANGELA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2012-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2313754",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "SONNIER",
            "middle_name": "HYATT",
            "prefix": "MISS",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Vinton, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; 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.