Bradley Gene Mouroux, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

31651 Issued in CA

Practice address

1888 Saratoga Ave
Ste 101
San Jose, CA 95129-5214

Phone

(415) 472-7316

NPI assigned

Aug 25, 2010

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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Mouroux Family Chiropractic Inc.

  • Chiropractor
  • San Jose, CA
  • NPI 1013450584
  Medicare reassignment NPD Authorized official
• Whole Health Medical Center Inc.

  • General Practice Physician
  • San Jose, CA
  • NPI 1235700725
  NPD Authorized official
• Ebadat Chiropractic Inc.

  • Chiropractor
  • San Jose, CA
  • NPI 1003006404
  NPD (past)
• Smik Chiropractic, Inc.

  • Chiropractor
  • San Jose, CA
  • NPI 1982709762
  NPD (past)

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493942400000",
    "number": "1457667693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 BOLINAS RD",
            "address_2": "SUITE # 2",
            "city": "FAIRFAX",
            "state": "CA",
            "postal_code": "949301659",
            "telephone_number": "415-472-7316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1888 SARATOGA AVE",
            "address_2": "STE 101",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951295214",
            "telephone_number": "415-472-7316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUROUX",
        "first_name": "BRADLEY",
        "middle_name": "GENE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-25",
        "last_updated": "2017-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mouri Management Group Incorporated
• Mouri Management Group Incorporated
• Mouri Management Group Incorporated
• Mouri Management Group Incorporated
• Mouroux Family Chiropractic Inc.
• Ghaidaa Mousabacha
• Nadra F Mousharrafie, RPH
• Mohammad H. Moussavian, MD
• Peter G Mouttapa, MSW
• Move Right Physical Therapy Inc.

• Chiropractor in San Jose, CA
• Providers in San Jose, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; 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.