Bradley Marx

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-1730 Issued in ID

Practice address

104 S Daisy St Ste a
Salmon, ID 83467-4333

Phone

(208) 756-2202

NPI assigned

Aug 3, 2016

Last updated

Aug 3, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Klapp Chiropractic Life Center LLCGroup PAC ID 4789570375, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Klapp Chiropractic Life Center, LLC

  dba First Choice Chiropractic

  • Chiropractor
  • Ann Arbor, MI
  • NPI 1972512119
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1548713837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S DAISY ST STE A",
            "city": "SALMON",
            "state": "ID",
            "postal_code": "834674333",
            "telephone_number": "208-756-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S DAISY ST STE A",
            "city": "SALMON",
            "state": "ID",
            "postal_code": "834674333",
            "telephone_number": "208-756-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARX",
        "first_name": "BRADLEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lemhi Valley Social Services, Inc.
• Lemhi Valley Social Services, Inc.
• Thomas Monroe Maas, LMFT
• Sarah E. Marcus, LCSW
• Mark S. Oliverson, D.M.D. (Salmon Dental Center PLLC)
• Gayle McCampbell, OTR
• Daniel C. McClenahan, CRNA
• Gina Cherie McFarland, RN
• Molly A McNevin
• Meadows Assisted Living Center

• Chiropractor in Salmon, ID
• Providers in Salmon, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.