Organization Active NPI

Quantum Chiropractic and Massage PLLC

  • Chiropractor
  • Royal Oak, MI
National Provider Identifier
1457097537
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
QUANTUM CHIROPRACTIC AND MASSAGE PLLC
Practice address
1320 N Campbell Rd
Royal Oak, MI 48067-1555
Phone
(248) 733-3956
NPI assigned
May 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Authorized official

Name
Dr. Bradley G. Burgess, DCNPI 1376055970
Title
Owner/Chiropractor
Phone
(586) 556-1060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1320 N Campbell Rd
Royal Oak, MI 48067-1555

Mailing address

2922 N Main St
Royal Oak, MI 48073-3418
Phone (586) 556-1060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220525001311 MI Part B Supplier - Clinic/Group Practice 5193103588 Receives reassigned benefits from 1 practitioner
Practice locations: Sterling Heights, MI

National Provider Directory

National Provider Directory

Locations

1320 N Campbell Rd
Ste 13
Royal Oak, MI 48067
Phone (248) 733-3956

1320 N Campbell Rd
Royal Oak, MI 48067
Phone (248) 410-7535

4110 17 Mile Rd
Sterling Hts, MI 48310
Phone (586) 978-0170

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1457097537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2922 N MAIN ST",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480733418",
            "telephone_number": "586-556-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 N CAMPBELL RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671555",
            "telephone_number": "248-733-3956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM CHIROPRACTIC AND MASSAGE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "586-556-1060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.