Wilimington Chiropractor, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

WILIMINGTON CHIROPRACTOR, LLC

Practice address

305 N Union St Ste 101B
Wilmington, DE 19805-3453

Phone

(302) 407-3549

Fax

(888) 726-9023

NPI assigned

May 15, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Peter John Bradian

Title

Owner

Phone

(646) 373-9758

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1487345146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N UNION ST STE 101B",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198053453",
            "telephone_number": "302-407-3549",
            "fax_number": "888-726-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N UNION ST STE 101B",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198053453",
            "telephone_number": "302-407-3549",
            "fax_number": "888-726-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILIMINGTON CHIROPRACTOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "BRADIAN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-373-9758",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.