Anthony George Braddick, D.C., P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2170 Issued in TX

Practice address

1305 1St St E
A
Humble, TX 77338-4925

Phone

(281) 446-1041

Fax

(281) 446-4885

NPI assigned

Oct 26, 2006

Last updated

Oct 20, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. A. G. Braddick Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A.G. Braddick, D.C., P.C.

  dba New Life Chiropractic Center

  • Chiropractor
  • Humble, TX
  • NPI 1760643233
  Authorized official Same address or phone

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1740365899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 1ST ST E",
            "address_2": "A",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384925",
            "telephone_number": "281-446-1041",
            "fax_number": "281-446-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 1ST ST E",
            "address_2": "A",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384925",
            "telephone_number": "281-446-1041",
            "fax_number": "281-446-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADDICK",
        "first_name": "ANTHONY",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "D.C., P.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "2170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00665372",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "A.",
            "last_name": "BRADDICK",
            "middle_name": "G.",
            "prefix": "DR.",
            "credential": "D.C.,P.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• William Bowie Jr.
• Letitia Washington Bowman, PTA
• Tierra Boyd, OTR/L
• Marguerite Regan Braaten, LCSW
• Doris Gail Brackins
• Daniel Bradke, M.D.
• Felicia Ann Bradley, DNP, PMHNP
• Latoya Bradley
• Alice Brayer, LM
• Breast Health Houston, PLLC

• Chiropractor in Humble, TX
• Providers in Humble, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; 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.