Active NPI
Back Solutions Chiropractic Center PLLC
- Chiropractor
- Chapel Hill, NC
National Provider Identifier
1548232002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3253
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5900355 | Medicaid | NC | |
| 085VC | Other | NC | BCBS |
Other names 1
- Mindy H Bradshaw DC
National Provider Directory
National Provider DirectoryLocations
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.