Bradley John Martin, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Practice address

161 Market St
Willow Springs, IL 60480-1613

Phone

(780) 833-4480

Fax

(708) 839-1323

NPI assigned

Nov 3, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Bria Clinic Pain & Injury Relief Center SC

  • Rehabilitation Chiropractor
  • Willow Springs, IL
  • NPI 1255641635
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609955459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 MARKET ST",
            "city": "WILLOW SPRINGS",
            "state": "IL",
            "postal_code": "604801613",
            "telephone_number": "780-833-4480",
            "fax_number": "708-839-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 MARKET ST",
            "city": "WILLOW SPRINGS",
            "state": "IL",
            "postal_code": "604801613",
            "telephone_number": "780-833-4480",
            "fax_number": "708-839-1323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "BRADLEY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Macayla Lenzi, PTA
• Mainstreet Accessibility Inc
• Abigail Malvestuto, LMT
• Melody Marcotte, MA, LCSW
• Martin Health & Rehabilitation, S.C.
• Joseph Santino Martusciello, DC
• Rayna Murphy
• Michael Joseph Muszynski, M.D. MPH
• Manfred William Neumann, DDS
• O'Connor Foundation

• Chiropractor in Willow Springs, IL
• Providers in Willow Springs, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.