Bradford Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

11136 Issued in TX

Legal business name

BRADFORD CHIROPRACTIC PLLC

Practice address

1219 E Debbie LN
Suite 103
Mansfield, TX 76063-3330

Phone

(817) 704-3243

NPI assigned

Mar 5, 2009

Last updated

Feb 2, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kirk Henry Bradford, D.C.NPI 1639319551

Title

Owner

Phone

(817) 704-3243

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kirk Henry Bradford, D.C.

  • Chiropractor
  • Mansfield, TX
  • NPI 1639319551
  NPD (past) Authorized official

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1487894309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 E DEBBIE LN",
            "address_2": "SUITE 103",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633330",
            "telephone_number": "817-704-3243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 E DEBBIE LN",
            "address_2": "SUITE 103",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633330",
            "telephone_number": "817-704-3243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADFORD CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-05",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-704-3243",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Bower
• Annaclaire Bowman
• Boyd Eye Care LLC
• Tyler Boyd, PTA
• Boyznberry Corporation
• Kirk Henry Bradford, D.C.
• Hallie Bradley, MD
• Brady Medical Group PLLC
• Ronald Wayne Brady, LCSW
• Yaa Brago

• Chiropractor in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.