Chad Franklin Polley, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH7856 Issued in FL

Practice address

166 E Bloomingdale Ave
Suite B
Brandon, FL 33511-8101

Phone

(813) 654-7121

Fax

(813) 200-3986

NPI assigned

May 28, 2009

Last updated

Dec 30, 2010By the provider in NPPES

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 FL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Brandon Back Pain Relief Chiropractic, LLC

  • Chiropractor
  • Brandon, FL
  • NPI 1396035655
  Medicare reassignment Authorized official
• Stewart Chiropractic & Wellness, LLC

  • Chiropractor
  • Valrico, FL
  • NPI 1518422468
  NPD (past)

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293667200000",
    "number": "1477788917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 E BLOOMINGDALE AVE",
            "address_2": "SUITE B",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114801",
            "telephone_number": "813-654-7121",
            "fax_number": "813-200-3986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 E BLOOMINGDALE AVE",
            "address_2": "SUITE B",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118101",
            "telephone_number": "813-654-7121",
            "fax_number": "813-200-3986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLEY",
        "first_name": "CHAD",
        "middle_name": "FRANKLIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-28",
        "last_updated": "2010-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Play. Eat. Thrive. LLC
• Frank D Plumb, OPTICIAN
• Elizabeth Keiner Pojani, M.D.
• Jessica Anne Polack, MOT
• Ayendi C Polite
• Keisha Sherrie Polonio, LCSW
• Crystal Catherine Poma
• Steven Poncin
• Ashley Marie Poole, PTA
• Kuldeep Dharam Pooran, DDS

• Chiropractor in Brandon, FL
• Providers in Brandon, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; 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.