Individual provider Active NPI

Bradley Dale Donahoe, D.C.

  • Chiropractor
  • Sherwood, OR
National Provider Identifier
1467470443
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3047 Issued in OR
Practice address
22021 SW Sherwood Blvd
Sherwood, OR 97140-9327
Phone
(503) 625-2290
Fax
(503) 625-6297
NPI assigned
Jul 17, 2006
Last updated
Dec 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH-8948 FL
Chiropractor 111N00000X 3047 OR Primary

Addresses

Primary practice location

22021 SW Sherwood Blvd
Sherwood, OR 97140-9327

Mailing address

22021 SW Sherwood Blvd
Sherwood, OR 97140-9327
Phone (503) 625-2290

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200326001482 OR Practitioner - Chiropractic 2365871381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20055 SW Pacific Hwy
Suite 210
Sherwood, OR 97140-9294
Phone (503) 625-2290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH-8948FLMDChiropractor
3047ORMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Innate Health Chiropractic LLC Chiropractor CurrentSince Jan 27, 2020 Accepting new patients

Locations

20055 SW Pacific Hwy
Ste 210
Sherwood, OR 97140
Phone (503) 625-2225

22021 SW Sherwood Blvd
Sherwood, OR 97140
Phone (503) 625-2290

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1467470443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22021 SW SHERWOOD BLVD",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971409327",
            "telephone_number": "503-625-2290",
            "fax_number": "503-625-6297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22021 SW SHERWOOD BLVD",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971409327",
            "telephone_number": "503-625-2290",
            "fax_number": "503-625-6297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONAHOE",
        "first_name": "BRADLEY",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH-8948",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherwood, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.