Brad W Hannon Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BRAD W HANNON INC

Practice address

16808 Main St Ste B
Hesperia, CA 92345-6033

Phone

(760) 949-0996

Fax

(760) 949-0777

NPI assigned

Sep 13, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Brad W Hannon, DC

Title

Doctor/Ceo

Phone

(760) 949-0996

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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.

• Bradley William Hannon, D.C.,

  • Chiropractor
  • Hesperia, CA
  • NPI 1710066675
  Medicare reassignment NPD
• Clive Brian Hannon, D.C.,

  • Chiropractor
  • Hesperia, CA
  • NPI 1750469995
  NPD

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284336000000",
    "number": "1497062350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16808 MAIN ST STE B",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923456033",
            "telephone_number": "760-949-0996",
            "fax_number": "760-949-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16808 MAIN ST STE B",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923456033",
            "telephone_number": "760-949-0996",
            "fax_number": "760-949-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAD W HANNON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-09-13",
        "status": "A",
        "authorized_official_last_name": "HANNON",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DOCTOR/CEO",
        "authorized_official_telephone_number": "760-949-0996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1710066675",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryl Mae Bishop
• Frederick M Blum, MFT, PHD.
• Johnette Dashay Board, NURSING LICENSE
• Amber Louise Courtney Bobo
• Kimberly Michelle Bracone
• Elisa Marie Starnes Braggins, LMFT
• Arlene Braham, MD
• Alyssa Brass
• Alexis Bratcher
• Andrea Selene Bravo

• Chiropractor in Hesperia, CA
• Providers in Hesperia, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; 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.