Douglas Wayne Bradberry, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4405 Issued in NC

Practice address

4601 Park Rd Ste 100
Charlotte, NC 28209-2296

Phone

(704) 527-7246

Fax

(704) 527-3080

NPI assigned

Nov 3, 2012

Sex

Male

Sole proprietor

No

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 NC

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

De Health Partners PCGroup PAC ID 7618262759, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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.

• De Health Partners PC

  • Chiropractor
  • Charlotte, NC
  • NPI 1356799605
  Medicare reassignment Care Compare group NPD
• Scott David Greenapple

  • Chiropractor
  • Charlotte, NC
  • NPI 1194927079
  NPD

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

{
    "created_epoch": "1351900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1710231303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 PARK RD STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092296",
            "telephone_number": "727-581-2774",
            "fax_number": "727-581-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 PARK RD STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092296",
            "telephone_number": "704-527-7246",
            "fax_number": "704-527-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADBERRY",
        "first_name": "DOUGLAS",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-03",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith Elizabeth Bracken I
• Jenna Brackett
• Kim Brackett, LMBT, NCTMB
• Katherine M Brackin, BT
• Caroline Bracksieck, MS, CCC/SLP
• William Timothy Brader, MD
• Bradford L Picot, DDS, P.a.
• Bradford OB/GYN
• Grace Bradford
• Jesse Campbell Bradford, D.D.S.

• Chiropractor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.