Brad P. Williamson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

#7086 Issued in AZ

Practice address

4824 E. Baseline Road
Suite 140
Mesa, AZ 85206-4628

Phone

(480) 969-4040

Fax

(480) 830-9202

NPI assigned

Aug 19, 2008

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219104000000",
    "number": "1447407747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9221 E. BASELINE ROAD",
            "address_2": "SUITE A109 #160",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852098324",
            "telephone_number": "480-969-4040",
            "fax_number": "480-830-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4824 E. BASELINE ROAD",
            "address_2": "SUITE 140",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064628",
            "telephone_number": "480-969-4040",
            "fax_number": "480-830-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "BRAD",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "#7086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rochelle Williams, REGISTERED NURSE
• Sabreina Williams
• Sally Lynn Williams, PTA
• Teresa Ann Williams, REGISTERED NURSE
• Tyler Williams
• Marcus Allen Willingham
• Chad Riley Willis Jr., LPC
• Jay Ronald Willis, DC
• John Willis
• Kathy Renee Willis

• Chiropractor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.