Individual provider Active NPI

David Eugene Bradford, D.C.

  • Chiropractor
  • Cincinnati, OH
National Provider Identifier
1699054437
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4212 Issued in OH
Practice address
10198 Springfield Pike
Cincinnati, OH 45215-1448
Phone
(513) 772-9065
Fax
(513) 772-2961
NPI assigned
Aug 10, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4212 OH Primary
Chiropractor 111N00000X CH10312 FL

Addresses

Primary practice location

10198 Springfield Pike
Cincinnati, OH 45215-1448

Mailing address

10198 Springfield Pike
Cincinnati, OH 45215-1448
Phone (513) 772-9065

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111014000401 OH Practitioner - Chiropractic 9234301342 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10198 Springfield Pike
Cincinnati, OH 45215-1448
Phone (513) 772-9065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH10312FLMDChiropractor
4212OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Healthcare Solutions LLC Chiropractor CurrentSince Aug 1, 2015 Accepting new patients
Mt. Auburn Urgent Care, LLC CurrentSince Aug 1, 2022 Accepting new patients
Western Row Chiropractic Inc Chiropractor Past Accepting new patients

Locations

10198 Springfield Pike
Cincinnati, OH 45215
Phone (513) 722-9065

2230 Auburn Ave
#B
Cincinnati, OH 45219
Phone (513) 621-0007

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": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1699054437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10198 SPRINGFIELD PIKE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452151448",
            "telephone_number": "513-772-9065",
            "fax_number": "513-772-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10198 SPRINGFIELD PIKE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452151448",
            "telephone_number": "513-772-9065",
            "fax_number": "513-772-2961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "DAVID",
        "middle_name": "EUGENE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-10",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4212",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10312",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; 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.