NPIMap

Organization Active NPI

Brady Chiropractic LLC

Doing business as Tropicana West Chiropractic

  • Chiropractor
  • Las Vegas, NV
National Provider Identifier
1710622097
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BRADY CHIROPRACTIC LLC
Doing business as
Tropicana West Chiropractic
Practice address
6819 W Tropicana Ave Ste 100
Las Vegas, NV 89103-4929
Phone
(702) 364-5130
Fax
(702) 364-5612
NPI assigned
May 2, 2022
Last updated
Nov 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Authorized official

Name
Dr. Douglas BradyNPI 1487140208
Title
Owner
Phone
(702) 364-5130

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

6819 W Tropicana Ave Ste 100
Las Vegas, NV 89103-4929

Mailing address

6819 W Tropicana Ave Ste 100
Las Vegas, NV 89103-4929
Phone (702) 364-5130

Other names 1

  • Tropicana West Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220511000531 NV Part B Supplier - Clinic/Group Practice 4981081080 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

6819 W Tropicana Ave
Ste 100
Las Vegas, NV 89103
Phone (702) 364-5130

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1710622097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6819 W TROPICANA AVE STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891034929",
            "telephone_number": "702-364-5130",
            "fax_number": "702-364-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6819 W TROPICANA AVE STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891034929",
            "telephone_number": "702-364-5130",
            "fax_number": "702-364-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-11-16",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-364-5130",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tropicana West Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tropicana West Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.