Individual provider Active NPI

Christian Robert Thompson, D. C.

  • Chiropractor
  • Bradenton, FL
National Provider Identifier
1609097062
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 8290 Issued in FL
Practice address
4817 Cortez Rd W
Bradenton, FL 34210-2804
Phone
(941) 761-3919
Fax
(941) 761-3897
NPI assigned
May 2, 2007
Last updated
Jun 18, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 8290 FL Primary

Addresses

Primary practice location

4817 Cortez Rd W
Bradenton, FL 34210-2804

Mailing address

4817 Cortez Rd W
Bradenton, FL 34210-2804
Phone (941) 761-3919

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120222000863 FL Practitioner - Chiropractic 0648438671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

800 39TH St W
Bradenton, FL 34205-2456
Phone (941) 761-3919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 8290FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Chiropractic, Inc. Chiropractor CurrentSince Oct 15, 2001 Accepting new patients

Locations

4817 Cortez Rd W
Bradenton, FL 34210
Phone (941) 761-3919

800 39th St W
Bradenton, FL 34205
Phone (941) 747-4664

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

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1609097062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4817 CORTEZ RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342102804",
            "telephone_number": "941-761-3919",
            "fax_number": "941-761-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4817 CORTEZ RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342102804",
            "telephone_number": "941-761-3919",
            "fax_number": "941-761-3897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CHRISTIAN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D. C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 8290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; 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.