Edward a. Madrid, DC, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8560 Issued in AZ

Legal business name

EDWARD A. MADRID, DC, PC

Practice address

18631 N 19TH Ave Ste 152
Phoenix, AZ 85027-5800

Phone

(602) 789-1078

Fax

(623) 582-0997

NPI assigned

Dec 6, 2012

Organization subpart

No

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

Authorized official

Name

Edward Madrid, DCNPI 1043385479

Title

President

Phone

(602) 789-1078

Specialties & licenses 1

Addresses

Other names 1

• Bronson Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 2

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

• Edward A Madrid, DC

  • Chiropractor
  • Phoenix, AZ
  • NPI 1043385479
  Medicare reassignment Authorized official
• Richard Frederick Bronson, D.C.

  • Sports Physician Chiropractor
  • Phoenix, AZ
  • NPI 1851486724
  NPD (past)

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475193600000",
    "number": "1477898104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18631 N 19TH AVE STE 152",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850275800",
            "telephone_number": "602-789-1078",
            "fax_number": "623-582-0997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18631 N 19TH AVE STE 152",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850275800",
            "telephone_number": "602-789-1078",
            "fax_number": "623-582-0997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD A. MADRID, DC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-06",
        "last_updated": "2016-09-30",
        "status": "A",
        "authorized_official_last_name": "MADRID",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-789-1078",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bronson Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Jo Edmondson, LPC-MHSP
• Sara Joyce Edmund, DNP
• Edna'S Counseling Center of Hope
• Trent W Edstrom, NURSE PRACTITIONER
• Educational Therapy Services
• Edward F. Joganic, M.D., P.C.
• Edward G Scates DPM PC
• Edward J Rotmensch MD PLLC
• Edward J. Donahue, M.D., P.C.
• Edward M Reece MD PLLC

• Chiropractor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; 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.