R. Bradley Koser DC, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH11851 Issued in FL

Legal business name

R. BRADLEY KOSER DC, LLC

Doing business as

Seminole Heights Chiropractic & Wellness

Practice address

5805 N Florida Ave
Tampa, FL 33604-6601

Phone

(813) 702-5566

Fax

(888) 511-0039

NPI assigned

Jun 29, 2016

Last updated

Sep 24, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Bradley Koser Jr., D.C.

Title

Owner

Phone

(813) 702-5566

Specialties & licenses 1

Addresses

Other names 1

• Seminole Heights Chiropractic & Wellness Doing business as

Locations

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569283200000",
    "number": "1720439847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5805 N FLORIDA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336046601",
            "telephone_number": "813-702-5566",
            "fax_number": "888-511-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5805 N FLORIDA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336046601",
            "telephone_number": "813-702-5566",
            "fax_number": "888-511-0039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15610 Gardenside Ln",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336241818",
            "country_code": "US",
            "telephone_number": "813-388-8605",
            "fax_number": "888-511-0039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "R. BRADLEY KOSER DC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-29",
        "last_updated": "2019-09-24",
        "status": "A",
        "authorized_official_last_name": "KOSER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-702-5566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seminole Heights Chiropractic & Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Seminole Heights Chiropractic & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Tampa, FL
• Providers in Tampa, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.