Bradley Chiropractic Office, S.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2238 Issued in WI

Legal business name

BRADLEY CHIROPRACTIC OFFICE, S.C.

Practice address

121 Sutliff Ave
Rhinelander, WI 54501-3349

Phone

(715) 369-5656

Fax

(715) 369-8889

NPI assigned

Nov 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joseph M Bradley, D.C.NPI 1346365400

Title

President

Phone

(715) 369-5656

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

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

• Joseph Bradley, D.C.

  • Chiropractor
  • Rhinelander, WI
  • NPI 1346365400
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1508047028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 SUTLIFF AVE",
            "address_2": "PO BOX 652",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545013349",
            "telephone_number": "715-369-5656",
            "fax_number": "715-369-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 SUTLIFF AVE",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545013349",
            "telephone_number": "715-369-5656",
            "fax_number": "715-369-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY CHIROPRACTIC OFFICE, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-369-5656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Ann Boney
• Alyssa Borski, LPC, SAC-IT
• Joseph Henry Bosin
• Coralie J Bourcier
• David T. Boustead, MSW, LCSW
• Joseph Bradley, D.C.
• Steven Michael Breneman, RN
• Bright Path Behavioral Health
• Stacey Lee Brooks, LPN
• Steven Brooks, MD

• All providers in Rhinelander, WI
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.