Individual provider Active NPI

Bradley J Weiss, DC

  • Chiropractor
  • Natick, MA
National Provider Identifier
1750308391
Registry record updated Jun 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
972 Issued in MA
Practice address
264 N Main St
Natick, MA 01760-1141
Phone
(508) 655-9008
Fax
(508) 651-3805
NPI assigned
Jul 17, 2006
Last updated
Jun 27, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 972 MA Primary

Addresses

Primary practice location

264 N Main St
Natick, MA 01760-1141

Mailing address

264 N Main St
Natick, MA 01760-1141
Phone (508) 655-9008

Other identifiers 1

IdentifierTypeStateIssuer
445545OtherMAMED GROUP NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060503000768 MA Practitioner - Chiropractic 9436170495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Performance Health Center LLCGroup PAC ID 5799849113, 3 clinicians

Practice addresses (Care Compare)

264 N Main St
Natick, MA 01760-1141
Phone (508) 655-9008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
972MAMDPhysical Rehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Health Center LLC Chiropractor CurrentSince Oct 1, 2002 Accepting new patients

Locations

222 N Main St
Natick, MA 01760
Phone (508) 655-9008

264 N Main St
Natick, MA 01760
Phone (508) 590-9263

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372291200000",
    "number": "1750308391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 N MAIN ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601141",
            "telephone_number": "508-655-9008",
            "fax_number": "508-651-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 N MAIN ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601141",
            "telephone_number": "508-655-9008",
            "fax_number": "508-651-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "BRADLEY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2013-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED GROUP NUMBER",
            "identifier": "445545",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; 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.