Individual provider Active NPI

Arthur Boyd Bradley Jr., D.C.

  • Chiropractor
  • Flower Mound, TX
National Provider Identifier
1700145125
Registry record updated May 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11059 Issued in TX
Practice address
2021 Justin Rd
Suite 132
Flower Mound, TX 75028-3800
Phone
(972) 539-2446
Fax
(972) 539-2066
NPI assigned
May 4, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 11059 TX Primary

Addresses

Primary practice location

2021 Justin Rd
Suite 132
Flower Mound, TX 75028-3800

Mailing address

2021 Justin Rd
Suite 132
Flower Mound, TX 75028-3800
Phone (972) 539-2446

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120816000634 TX Practitioner - Chiropractic 3779739339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2021 Justin Rd
Suite 132
Flower Mound, TX 75028-3836
Phone (972) 539-2446

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arteva, LLC Chiropractor CurrentSince Jun 5, 2012 Accepting new patients

Locations

2021 Justin Rd
Ste 132
Flower Mound, TX 75028
Phone (972) 355-0031

Organizations & group practices 1

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": "1336089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336089600000",
    "number": "1700145125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 JUSTIN RD",
            "address_2": "SUITE 132",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750283800",
            "telephone_number": "972-539-2446",
            "fax_number": "972-539-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 JUSTIN RD",
            "address_2": "SUITE 132",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750283800",
            "telephone_number": "972-539-2446",
            "fax_number": "972-539-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "ARTHUR",
        "middle_name": "BOYD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-04",
        "last_updated": "2012-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; 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.