Bravard Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038011152 Issued in IL

Legal business name

BRAVARD CHIROPRACTIC INC

Practice address

1523 47TH Ave
Suite 2
Moline, IL 61265-7089

Phone

(309) 764-7272

Fax

(309) 764-7272

NPI assigned

Jul 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Rebecca Suzanne Bravard, DC

Title

President

Phone

(563) 508-5870

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1548424716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 47TH AVE",
            "address_2": "SUITE 2",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612657089",
            "telephone_number": "309-764-7272",
            "fax_number": "309-764-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 47TH AVE",
            "address_2": "SUITE 2",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612657089",
            "telephone_number": "309-764-7272",
            "fax_number": "309-764-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVARD CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "BRAVARD",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-508-5870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Drake Bowles Edwards, M.D.
• Braaten Health LLC
• Braaten Health, LLC
• Stacy L Bramstedt, ARNP
• Emiley Brand, DPT
• Bravo Care of Moline Inc
• Brian Buckrop
• Brian J Anseeuw M.D. S.C.
• Enrique M. Bringas, MD
• Amanda Christine Brissman, MSW

• Chiropractor in Moline, IL
• Providers in Moline, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.