Individual provider Active NPI

Brad Lacroix

  • Sports Physician Chiropractor
  • Seneca Falls, NY
National Provider Identifier
1477859775
Registry record updated Feb 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
NOT AVAILABLE Issued in NY
Practice address
287 Fall St
Seneca Falls, NY 13148-1516
Phone
(315) 745-0702
NPI assigned
Feb 3, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X NOT AVAILABLE NY Primary

Addresses

Primary practice location

287 Fall St
Seneca Falls, NY 13148-1516

Mailing address

287 Fall St
Seneca Falls, NY 13148-1516

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250522002123 NY Practitioner - Chiropractic 3173777851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Lacroix Family Chiropractic P.CGroup PAC ID 6507246261, 2 clinicians

Practice addresses (Care Compare)

1000 Dean St
Suite 216
Brooklyn, NY 11238-3383
Phone (718) 855-3100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NOT AVAILABLENYMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lacroix Family Chiropractic P.C CurrentSince Apr 15, 2025 Accepting new patients
Alexander Khavash DC PC Past Accepting new patients

Locations

1000 Dean St
Ste 216
Brooklyn, NY 11238
Phone (718) 809-8401

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296691200000",
    "number": "1477859775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 FALL ST",
            "city": "SENECA FALLS",
            "state": "NY",
            "postal_code": "131481516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 FALL ST",
            "city": "SENECA FALLS",
            "state": "NY",
            "postal_code": "131481516",
            "telephone_number": "315-745-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACROIX",
        "first_name": "BRAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-03",
        "last_updated": "2011-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NY",
            "license": "NOT AVAILABLE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; 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.