Active NPI
Bradley Alan Williams, D.C.
- Nutrition Chiropractor
- New Canaan, CT
National Provider Identifier
1629135967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- CT001042
- Practice address
- 111 Elm St
New Canaan, CT 06840-5419 - Phone
- (203) 966-9777
- Fax
- (203) 966-0778
- NPI assigned
- Jan 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | CT001042 | CT | |
| Nutrition Chiropractor | 111NN1001X | CT001042 | CT | Primary |
Addresses
Primary practice location
111 Elm St
New Canaan, CT 06840-5419
Mailing address
111 Elm St
New Canaan, CT 06840-5419
Phone (203) 966-9777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P420681 | Other | CT | OXFORD HEALTH PLANS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
45 Grove St
New Canaan, CT 06840-5330
Phone (203) 966-9777
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1042 | CT | MD | Behavioral Analyst |
| CT001042 | CT | MD | Nutrition Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Canaan Chiropractic LLC | Neurology | Current | Accepting new patients |
Locations
111 Elm St
New Canaan, CT 06840
Phone (203) 966-9777
45 Grove St
New Canaan, CT 06840
Phone (203) 966-5752
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": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1629135967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 ELM ST",
"city": "NEW CANAAN",
"state": "CT",
"postal_code": "068405419",
"telephone_number": "203-966-9777",
"fax_number": "203-966-0778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 ELM ST",
"city": "NEW CANAAN",
"state": "CT",
"postal_code": "068405419",
"telephone_number": "203-966-9777",
"fax_number": "203-966-0778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "BRADLEY",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-03",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "CT",
"license": "CT001042",
"primary": false
},
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "CT",
"license": "CT001042",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLANS",
"identifier": "P420681",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Canaan, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.