Individual provider Active NPI

Bradley Robert Falke, D.C.

  • Chiropractor
  • Folsom, CA
National Provider Identifier
1730311424
Registry record updated Nov 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC31336 Issued in CA
Practice address
2260 E Bidwell St
Ste 108
Folsom, CA 95630-3554
Phone
(916) 984-6555
Fax
(916) 984-6777
NPI assigned
Aug 14, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC31336 CA Primary

Addresses

Primary practice location

2260 E Bidwell St
Ste 108
Folsom, CA 95630-3554

Mailing address

2260 East Bidwell Street
Ste 108
Folsom, CA 95630-3554
Phone (916) 984-6555

Other identifiers 1

IdentifierTypeStateIssuer
CG895AOtherCAMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091013000299 CA Practitioner - Chiropractic 9436295011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2260 E Bidwell St
Suite 108
Folsom, CA 95630-3555
Phone (916) 984-6555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Oak Chiropractic Incorporated Chiropractor CurrentSince Feb 7, 2012 Accepting new patients

Locations

2260 E Bidwell St
Ste 108
Folsom, CA 95630
Phone (916) 984-6555

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1250208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259280000000",
    "number": "1730311424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 EAST BIDWELL STREET",
            "address_2": "STE 108",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303554",
            "telephone_number": "916-984-6555",
            "fax_number": "916-984-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 E BIDWELL ST",
            "address_2": "STE 108",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303554",
            "telephone_number": "916-984-6555",
            "fax_number": "916-984-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALKE",
        "first_name": "BRADLEY",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-14",
        "last_updated": "2009-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC31336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CG895A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2009; 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.