Bradford David Jamnik, D.C.

Individual provider Active NPI Chiropractor · Commerce TWP, MI

NPI 1699080929 · NPPES record last updated Jun 21, 2022

Key facts

NPI
1699080929
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
2301009710 (MI)
Practice address
3395 Union Lake Rd
Commerce TWP, MI 48382-4551
Phone
(486) 816-8042
NPI assigned
Aug 11, 2010
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Medicare Care Compare profile

Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DCG Holdings PLLC (3 clinicians)

Practice addresses (Care Compare)

8336 Hilton Rd
Suite 100
Brighton, MI 48114-5015
Phone (810) 225-2288

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20110114000806 MI Practitioner - Chiropractic 1658560073 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Susan N Blaskay DC PC Chiropractor Past
since May 27, 2015
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009710 MI Yes

Addresses

Primary practice location

3395 Union Lake Rd
Commerce TWP, MI 48382-4551

Mailing address

8685 W Grand River Ave
Brighton, MI 48116-2328
Phone (810) 225-2288

Other providers in Commerce TWP, MI

All providers in Commerce TWP, MI · Chiropractor in Michigan

Sources for this page

Verify at the official NPI Registry.