Active NPI
Bradley K Rethwill, D.C.
- Chiropractor
- Eugene, OR
National Provider Identifier
1548242183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1834
- Practice address
- 1400 Executive Pkwy Ste 220
Eugene, OR 97401-7109 - Phone
- (541) 345-1669
- Fax
- (541) 359-2238
- NPI assigned
- Nov 18, 2005
- Last updated
- Mar 26, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1834 | OR | Primary |
Addresses
Primary practice location
1400 Executive Pkwy Ste 220
Eugene, OR 97401-7109
Mailing address
1400 Executive Pkwy Ste 220
Eugene, OR 97401-7109
Phone (541) 345-1669
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marks Family Chiropractic LLC | Chiropractor | Current | Accepting new patients |
Locations
1400 Executive Pkwy
Ste 220
Eugene, OR 97401
Phone (541) 345-1669
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Eugene, OR
- NPI 1639835804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585180800000",
"number": "1548242183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 EXECUTIVE PKWY STE 220",
"city": "EUGENE",
"state": "OR",
"postal_code": "974017109",
"telephone_number": "541-345-1669",
"fax_number": "541-359-2238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 EXECUTIVE PKWY STE 220",
"city": "EUGENE",
"state": "OR",
"postal_code": "974017109",
"telephone_number": "541-345-1669",
"fax_number": "541-359-2238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RETHWILL",
"first_name": "BRADLEY",
"middle_name": "K",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-18",
"last_updated": "2020-03-26",
"certification_date": "2020-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "1834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.