Organization Active NPI

Back Solutions Chiropractic Center PLLC

  • Chiropractor
  • Chapel Hill, NC
National Provider Identifier
1548232002
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3253 Issued in NC
Legal business name
BACK SOLUTIONS CHIROPRACTIC CENTER PLLC
Practice address
11312 US Hwy 15 501 N
Ste 104
Chapel Hill, NC 27517-6377
Phone
(919) 969-0931
Fax
(919) 969-0933
NPI assigned
Feb 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mindy Hall Bradshaw, DC
Title
Owner Doctor
Phone
(919) 969-0931

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3253 NC Primary

Addresses

Primary practice location

11312 US Hwy 15 501 N
Ste 104
Chapel Hill, NC 27517-6377

Mailing address

11312 US Hwy 15 501 N
Ste 104
Chapel Hill, NC 27517-6377
Phone (919) 969-0931

Other identifiers 2

IdentifierTypeStateIssuer
5900355MedicaidNC
085VCOtherNCBCBS

Other names 1

  • Mindy H Bradshaw DC Doing business as

National Provider Directory

National Provider Directory

Locations

11312 US 15 501 N
Ste 104
Chapel Hill, NC 27517
Phone (919) 969-0931

141 Chatham Downs Dr
Ste 204
Chapel Hill, NC 27517
Phone (919) 851-6740

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548232002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11312 US HWY 15 501 N",
            "address_2": "STE 104",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275176377",
            "telephone_number": "919-969-0931",
            "fax_number": "919-969-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11312 US HWY 15 501 N",
            "address_2": "STE 104",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275176377",
            "telephone_number": "919-969-0931",
            "fax_number": "919-969-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK SOLUTIONS CHIROPRACTIC CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRADSHAW",
        "authorized_official_first_name": "MINDY",
        "authorized_official_middle_name": "HALL",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "919-969-0931",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900355",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "085VC",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindy H Bradshaw DC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.