Individual provider Active NPI

Brad John Pluckhan, D.C.

  • Chiropractor
  • Gilroy, CA
National Provider Identifier
1598897142
Registry record updated Mar 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC25090 Issued in CA
Practice address
7888 Wren Ave Ste D140
Gilroy, CA 95020-4966
Phone
(408) 848-2225
Fax
(408) 842-6700
NPI assigned
Mar 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC25090 CA Primary

Addresses

Primary practice location

7888 Wren Ave Ste D140
Gilroy, CA 95020-4966

Mailing address

7888 Wren Ave Ste D140
Gilroy, CA 95020-4966
Phone (408) 848-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091120000400 CA Practitioner - Chiropractic 5799824348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Brad Pluckhan, D.C. a Chiropractic CorporationGroup PAC ID 0143369702, 3 clinicians

Practice addresses (Care Compare)

8060 Santa Teresa Blvd
Suite 110
Gilroy, CA 95020-3863
Phone (408) 848-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25090CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brad Pluckhan, D.C. a Chiropractic Corporation Chiropractor CurrentSince Mar 1, 2009 Accepting new patients

Locations

420 Marathon Dr
Campbell, CA 95008
Phone (408) 866-0300

8060 Santa Teresa Blvd
Ste 110
Gilroy, CA 95020
Phone (408) 848-2225

7888 Wren Ave
Ste D140
Gilroy, CA 95020
Phone (408) 848-2225

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235952000000",
    "number": "1598897142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7888 WREN AVE STE D140",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950204966",
            "telephone_number": "408-848-2225",
            "fax_number": "408-842-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7888 WREN AVE STE D140",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950204966",
            "telephone_number": "408-848-2225",
            "fax_number": "408-842-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUCKHAN",
        "first_name": "BRAD",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2009-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilroy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; 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.