Individual provider Active NPI

Bradford J Myers, DC

  • Chiropractor
  • Palm Harbor, FL
National Provider Identifier
1629622808
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH12536 Issued in FL
Practice address
800 Tarpon Woods Blvd Ste F5
Palm Harbor, FL 34685-2000
Phone
(727) 785-2771
NPI assigned
Jul 26, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH12536 FL Primary

Addresses

Primary practice location

800 Tarpon Woods Blvd Ste F5
Palm Harbor, FL 34685-2000

Mailing address

800 Tarpon Woods Blvd Ste F5
Palm Harbor, FL 34685-2000
Phone (727) 785-2771

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200420001618 FL Practitioner - Chiropractic 2264862002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jamie Goodman D.C, P.a.Group PAC ID 7416114251, 2 clinicians

Practice addresses (Care Compare)

2206 Curlew Rd
Palm Harbor, FL 34683-6823
Phone (727) 772-7788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Woodlands Chiropractic and Rehabillitation PLLC Chiropractor CurrentSince Mar 1, 2020 Accepting new patients
Paul V McBride Chiroropractic Life Center Chiropractor PastSince Mar 22, 2020 Accepting new patients

Locations

800 Tarpon Woods Blvd
Ste F5
Palm Harbor, FL 34685
Phone (727) 785-2771

Organizations & group practices 3

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": "1564099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1629622808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 TARPON WOODS BLVD STE F5",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346852000",
            "telephone_number": "727-785-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 TARPON WOODS BLVD STE F5",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346852000",
            "telephone_number": "727-785-2771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "BRADFORD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-26",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; 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.