Neil Bradley Jackson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2031009153 Issued in MI

Practice address

10975 E Brewery Creek LN
Traverse City, MI 49684-6225

Phone

(231) 941-5010

Fax

(231) 941-2007

NPI assigned

Jun 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cedar Chiropractic PCGroup PAC ID 1658675012, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Cedar Chiropractic, PC

  dba Cedar Chiropractic Center

  • Chiropractor
  • Cedar, MI
  • NPI 1184804528
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1558304386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 173",
            "city": "CEDAR",
            "state": "MI",
            "postal_code": "496210173",
            "telephone_number": "231-228-5233",
            "fax_number": "231-228-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10975 E BREWERY CREEK LN",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496846225",
            "telephone_number": "231-941-5010",
            "fax_number": "231-941-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "NEIL",
        "middle_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009153",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2031009153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J. Donberg, LLC (Grand Traverse Natural Health Care)
• J. Eric Zimmerman, M.D., P.C.
• Jordan Jabara, MD
• Mark A Jackson, MD
• Matthew R Jackson, D.O.
• Nicole Marie Jackson, BT
• Sarah Kristen Jackson, MS
• Jacob White PH.D., PLLC
• Katelyn Jacobs, OTRL
• Matthew Jacobs

• Chiropractor in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.