Bradley Adam Visconti, D.C

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

2055 Issued in CT

Practice address

171 Market Square Suite 210
Newington, CT 06111-2930

Phone

(860) 665-0826

NPI assigned

Dec 29, 2016

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Back to Motion Sports Rehab and Fitness

  • Rehabilitation Chiropractor
  • Newington, CT
  • NPI 1093254880
  NPD (past) Authorized official

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1679018600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 MARKET SQUARE SUITE 210",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "06111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 MARKET SQUARE SUITE 210",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112930",
            "telephone_number": "860-665-0826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "435 Willard Ave",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Newington",
            "state": "CT",
            "postal_code": "061112318",
            "country_code": "US",
            "telephone_number": "860-665-0826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VISCONTI",
        "first_name": "BRADLEY",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-29",
        "last_updated": "2024-01-24",
        "certification_date": "2023-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CT",
            "license": "2055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CT",
            "identifier": "863573069",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Veterans Administration
• Elizabeth Vetre, R.PH.
• Alison K Villegas, LCSW
• Renu Virk, M.D.
• Shana Virtudes
• Visual Perceptions Eyecare
• Tuanh Thi Vo
• Michael Vukelic
• Cliff W Wagner, MD
• Melanie Wagner, M.A., CCC-SLP

• Rehabilitation Chiropractor in Newington, CT
• Providers in Newington, CT by specialty
• Rehabilitation Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.