Individual provider Active NPI

Susan Marie Bradshaw, D.C.

  • Chiropractor
  • Houston, TX
National Provider Identifier
1740236876
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10711 Issued in TX
Practice address
3000 Weslayan St Ste 260
Houston, TX 77027-5751
Phone
(713) 337-2117
Fax
(713) 337-2118
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7605 AZ
Chiropractor 111N00000X 10711 TX Primary

Addresses

Primary practice location

3000 Weslayan St Ste 260
Houston, TX 77027-5751

Mailing address

3000 Weslayan St Ste 260
Houston, TX 77027-5751
Phone (713) 337-2117

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160525001771 TX Practitioner - Chiropractic 5193751832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3000 Weslayan St
Suite 260
Houston, TX 77027-5751
Phone (713) 337-2117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10711TXMDGeneral Practice Dentistry
7605AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
LS Chiropractic, LLC Chiropractor CurrentSince Apr 12, 2016 Accepting new patients
First Chiropractic - Camino LLC Chiropractor Past Accepting new patients
First Chiropractic St. Mary'S LLC Chiropractor Past Accepting new patients
First Chiropractic Valencia LLC Chiropractor PastSince Dec 30, 2015 Accepting new patients

Locations

3100 Weslayan St
Ste 378
Houston, TX 77027
Phone (713) 337-2117

3000 Weslayan St
Ste 260
Houston, TX 77027
Phone (713) 337-2117

Organizations & group practices 4

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1740236876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 WESLAYAN ST STE 260",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770275751",
            "telephone_number": "713-337-2117",
            "fax_number": "713-337-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 WESLAYAN ST STE 260",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770275751",
            "telephone_number": "713-337-2117",
            "fax_number": "713-337-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADSHAW",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7605",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.