Havlicek Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

HAVLICEK CHIROPRACTIC INC

Practice address

2085 A1A S Ste 103
St Augustine, FL 32080-6505

Phone

(904) 522-2515

Fax

(904) 515-2235

NPI assigned

Aug 7, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Bradley Havlicek, D.C.NPI 1245632017

Title

President

Phone

(904) 515-2225

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bradley Havlicek, D.C.

  • Chiropractor
  • Saint Augustine, FL
  • NPI 1245632017
  Medicare reassignment NPD Authorized official
• Caleb Thomas Bunting, DC

  • Chiropractor
  • Saint Augustine, FL
  • NPI 1871249649
  NPD (past)

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601596800000",
    "number": "1720497340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2085 A1A S STE 103",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320806505",
            "telephone_number": "904-515-2225",
            "fax_number": "904-515-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2085 A1A S STE 103",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320806505",
            "telephone_number": "904-522-2515",
            "fax_number": "904-515-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVLICEK CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-07",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A",
        "authorized_official_last_name": "HAVLICEK",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-515-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emory Haskins
• Hassan Ali Hassan, M.D.
• Cyndie S. Hatcher
• Hathor Inc
• Emily Hattory, RBT
• Bradley Havlicek, D.C.
• Michael Joseph Havro, PA-C
• Haydon-Davis Counseling, Inc.
• Gabrielle Haye
• Emmeline Hayes, LMHC

• Chiropractor in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.