Individual provider Active NPI

Bradley Eugene Dopps, CHIROPRACTER

  • Chiropractor
  • Wichita, KS
National Provider Identifier
1699703025
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
C3363 Issued in KS
Practice address
834 N Socora St Ste 200
Wichita, KS 67212-3279
Phone
(316) 202-0045
Fax
(316) 440-3741
NPI assigned
Jun 28, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X C3363 KS Primary

Addresses

Primary practice location

834 N Socora St Ste 200
Wichita, KS 67212-3279

Mailing address

200 W Douglas Ave Ste 1040
Wichita, KS 67202-3017
Phone (316) 263-0003

Other practice location 1

5119 E Kellogg Dr
Wichita, KS 67218-1625
Phone (316) 685-2242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C3363KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Chiropractic Ict, LLC Chiropractor CurrentSince Feb 1, 2021 Accepting new patients
Advanced PT Independence LLC PastSince Oct 1, 2004 Accepting new patients

Locations

200 W Douglas Ave
Ste 1040
Wichita, KS 67202
Phone (866) 412-5554

834 N Socora St
Ste 200
Wichita, KS 67212
Phone (316) 202-0045

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1699703025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W DOUGLAS AVE STE 1040",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023017",
            "telephone_number": "316-263-0003",
            "fax_number": "316-263-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 N SOCORA ST STE 200",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123279",
            "telephone_number": "316-202-0045",
            "fax_number": "316-440-3741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5119 E Kellogg Dr",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672181625",
            "country_code": "US",
            "telephone_number": "316-685-2242",
            "fax_number": "316-686-3278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOPPS",
        "first_name": "BRADLEY",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "CHIROPRACTER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "C3363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.