Bradley William Hannon, D.C.,

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC30103 Issued in CA

Practice address

16808 Main St
Suite B
Hesperia, CA 92345-7922

Phone

(760) 949-0996

Fax

(760) 949-0777

NPI assigned

Nov 3, 2006

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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Los Angeles College of Chiropractic, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Brad W Hannon Inc

  • Chiropractor
  • Hesperia, CA
  • NPI 1497062350
  Medicare reassignment NPD
• Hannon Chiropractic Inc.

  • Chiropractor
  • Hesperia, CA
  • NPI 1750612289
  NPD

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710066675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16808 MAIN ST",
            "address_2": "SUITE B",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923457922",
            "telephone_number": "760-949-0996",
            "fax_number": "760-949-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16808 MAIN ST",
            "address_2": "SUITE B",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923457922",
            "telephone_number": "760-949-0996",
            "fax_number": "760-949-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNON",
        "first_name": "BRADLEY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.C.,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC30103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Haddad, DDS
• Lei Lani Haghighi
• Sonny Joe Hambrick, D.C.
• Hands of Health Chiropractic
• Hannon Chiropractic Inc.
• Clive Brian Hannon, D.C.,
• Eric Rodney Hansen, D.O.
• Angela L Hanson
• Colleen Beth Hargett
• Sarah R Harrell

• Chiropractor in Hesperia, CA
• Providers in Hesperia, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.