Kristopher Michael Bradt, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

013279-01 Issued in NY

Practice address

77 S West St
Homer, NY 13077-1500

Phone

(607) 221-1198

NPI assigned

Feb 12, 2016

Last updated

Mar 7, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  • NPI 1992810782
  NPD

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1588023048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 S WEST ST",
            "city": "HOMER",
            "state": "NY",
            "postal_code": "130771500",
            "telephone_number": "607-221-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 S WEST ST",
            "city": "HOMER",
            "state": "NY",
            "postal_code": "130771500",
            "telephone_number": "607-221-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADT",
        "first_name": "KRISTOPHER",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-12",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "013279-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Annette Bellumori, NP
• Virginia Bersani, D.O.
• Mary Lou Betters, L.P.N.
• Blue Sky Health LLC
• Emily Rae Borter, LMT
• Joanne Brumm
• Janel Burhans
• Cedarwood Homer Community LLC
• Circles of Sage Nurse Practitioner in Family Health PLLC (Circles of Sage, PLLC)
• John C Cognato, PT

• Chiropractor in Homer, NY
• Providers in Homer, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.