Herbert J Bradford Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1460 Issued in MD

Practice address

401 Little Marvel CT
Pasadena, MD 21122-3871

Phone

(410) 255-1807

NPI assigned

Jan 4, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bradford Chiropractic Center LLC

  • Multi-Specialty Clinic/Center
  • Pasadena, MD
  • NPI 1477691624
  Medicare reassignment NPD Authorized official
• Healthbridge Chiropractic

  • Chiropractor
  • Bel Air, MD
  • NPI 1164606737
  NPD (past)
• Preferred Care Center

  • Chiropractor
  • Glen Burnie, MD
  • NPI 1790853802
  NPD (past)
• Spineworks Medical Center, LLC

  • General Practice Physician
  • Bel Air, MD
  • NPI 1336444173
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447307178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 LITTLE MARVEL CT",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211223871",
            "telephone_number": "410-255-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 LITTLE MARVEL CT",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211223871",
            "telephone_number": "410-255-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "HERBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "1460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "3124181",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "640073",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "5677062",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS  BLUE SHIELD",
            "identifier": "448C",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "5236136",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "1150334",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dani Boulattouf, M.D.
• Adrienne Nicole Bourguet Valente, CRNP
• Francine Bouyett
• Carolyn E Bowering
• Bradford Chiropractic Center LLC
• Jayme K Brenneman, LCSW-C
• Joseph Osler Brice, D.P.M.
• Kimberly Broadie, OT
• Mackenzie Brode, PHARMD
• Sharon Elizabeth Brodie, CRNP - PEDIATRICS

• Chiropractor in Pasadena, MD
• Providers in Pasadena, MD by specialty
• Chiropractor in Maryland

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.