Individual provider Active NPI

Bradley J Kappel, D.C.

  • Chiropractor
  • St Thomas, VI
National Provider Identifier
1619912698
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34-C Issued in VI
Practice address
#7 Charlotte Amalie
Ste D
St. Thomas, VI 00802
Phone
(340) 714-2225
Fax
(727) 231-8188
NPI assigned
Jun 16, 2006
Last updated
Aug 16, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 34-C VI Primary

Addresses

Primary practice location

#7 Charlotte Amalie
Ste D
St. Thomas, VI 00802

Mailing address

#7 Charlotte Amalie
Ste D
St. Thomas, VI 00802
Phone (340) 714-2225

Other identifiers 2

IdentifierTypeStateIssuer
605762200OtherVIUS DEPT OF LABOR (FED WC)
66-0650126OtherVITAX ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050131000724 VI Practitioner - Chiropractic 4880644491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4600 Estate Charlotte Amalie
Suite 105
St Thomas, VI 00802-2305
Phone (340) 714-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34-CVIMDChiropractor

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345075200000",
    "number": "1619912698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#7 CHARLOTTE AMALIE",
            "address_2": "STE D",
            "city": "ST. THOMAS",
            "state": "VI",
            "postal_code": "00802",
            "telephone_number": "340-714-2225",
            "fax_number": "727-231-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#7 CHARLOTTE AMALIE",
            "address_2": "STE D",
            "city": "ST. THOMAS",
            "state": "VI",
            "postal_code": "00802",
            "telephone_number": "340-714-2225",
            "fax_number": "727-231-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPPEL",
        "first_name": "BRADLEY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2012-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VI",
            "license": "34-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR (FED WC)",
            "identifier": "605762200",
            "state": "VI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "66-0650126",
            "state": "VI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Thomas, VI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; 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.