Bryn Walsh Bradley, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

66989681202 Issued in UT

Practice address

1781 W 9000 S
West Jordan, UT 84088-6502

Phone

(801) 562-5600

Fax

(801) 255-7104

NPI assigned

Sep 28, 2007

Sex

Female

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

Enrolled in UT

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2007

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.

• LJ Alliance LLC

  • Chiropractor
  • West Jordan, UT
  • NPI 1912631219
  Medicare reassignment NPD
• Sierra Alta Auto Injury & Spine Center LLC

  • Chiropractor
  • Murray, UT
  • NPI 1447108014
  NPD Authorized official
• Alta Vista Chiropractic LLC

  • Chiropractor
  • West Jordan, UT
  • NPI 1730192600
  NPD

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1447447982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1781 W 9000 S",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840886502",
            "telephone_number": "801-562-5600",
            "fax_number": "801-255-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1781 W 9000 S",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840886502",
            "telephone_number": "801-562-5600",
            "fax_number": "801-255-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "BRYN",
        "middle_name": "WALSH",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-28",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "66989681202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Owen Boyer, DDS MAGD
• Sarah Anne Boykin, LCSW
• Brad a. Wahlstrom, D.D.S., P.C.
• Alexandra Bradford
• Melissa Ann Bradford, LPC
• Genevieve Wright Bradley
• Sarah Bradley, ATC
• Jayne Marie Bradshaw, LMT
• Kylie Braze
• Regan Breeze

• Chiropractor in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.