Organization Active NPI

Brad Bourne PC

  • Chiropractor
  • Littleton, CO
National Provider Identifier
1669672895
Registry record updated Feb 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BRAD BOURNE PC
Practice address
8156 S Wadsworth Blvd
Unit G
Littleton, CO 80128-9114
Phone
(303) 346-8362
Fax
(303) 932-1019
NPI assigned
Jul 25, 2007
Last updated
Feb 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2014

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

Authorized official

Name
Dr. Brad Alan Bourne, D.C.NPI 1952520199
Title
President (Chiropractor)
Phone
(303) 346-8362

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

8156 S Wadsworth Blvd
Unit G
Littleton, CO 80128-9114

Mailing address

8156 S Wadsworth Blvd
Unit G
Littleton, CO 80128-9114
Phone (303) 346-8362

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070807000270 CO Part B Supplier - Clinic/Group Practice 5496846362 Receives reassigned benefits from 1 practitioner
Practice locations: Littleton, CO

National Provider Directory

National Provider Directory

Locations

8156 S Wadsworth Blvd
Unit G
Littleton, CO 80128
Phone (303) 346-8362

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1669672895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8156 S WADSWORTH BLVD",
            "address_2": "UNIT G",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801289114",
            "telephone_number": "303-346-8362",
            "fax_number": "303-932-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8156 S WADSWORTH BLVD",
            "address_2": "UNIT G",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801289114",
            "telephone_number": "303-346-8362",
            "fax_number": "303-932-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAD BOURNE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "BOURNE",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT (CHIROPRACTOR)",
        "authorized_official_telephone_number": "303-346-8362",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.